Beth Sholom Home Of Eastern Vi - Virginia Beach Nursing Home
General Information
UPDATEFederal Provider Number
495186
Provider Name
BETH SHOLOM HOME OF EASTERN VI
Provider Address
6401 AUBURN DR
VIRGINIA BEACH, VA 23464
VIRGINIA BEACH, VA 23464
Provider Phone Number
7574202512
Provider SSA County
921
Provider County Name
Virginia Beach City
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETH SHOLOM HOME OF EASTERN VIRGINIA
Date First Approved to Provide Medicare and Medicaid services
1989-01-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.82064
Reported LPN Staffing Hours per Resident per Day
1.47248
Reported RN Staffing Hours per Resident per Day
0.49266
Reported Licensed Staffing Hours per Resident per Day
1.96514
Reported Total Nurse Staffing Hours per Resident per Day
4.78578
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08532
Expected CNA Staffing Hours per Resident per Day
2.47534
Expected LPN Staffing Hours per Resident per Day
0.65098
Expected RN Staffing Hours per Resident per Day
1.07594
Expected Total Nurse Staffing Hours per Resident per Day
4.20227
Adjusted CNA Staffing Hours per Resident per Day
2.79598
Adjusted LPN Staffing Hours per Resident per Day
1.87741
Adjusted RN Staffing Hours per Resident per Day
0.34213
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59062
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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