Beth Sholom Home Of Virginia - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
495291
Provider Name
BETH SHOLOM HOME OF VIRGINIA
Provider Address
1600 JOHN ROLFE PARKWAY
RICHMOND, VA 23233
RICHMOND, VA 23233
Provider Phone Number
(804) 750-2183
Provider SSA County
430
Provider County Name
Henrico
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETH SHOLOM HOME OF VIRGINIA
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09220
Reported LPN Staffing Hours per Resident per Day
1.12798
Reported RN Staffing Hours per Resident per Day
0.58532
Reported Licensed Staffing Hours per Resident per Day
1.71330
Reported Total Nurse Staffing Hours per Resident per Day
4.80550
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10413
Expected CNA Staffing Hours per Resident per Day
2.58491
Expected LPN Staffing Hours per Resident per Day
0.63189
Expected RN Staffing Hours per Resident per Day
0.96871
Expected Total Nurse Staffing Hours per Resident per Day
4.18550
Adjusted CNA Staffing Hours per Resident per Day
2.93524
Adjusted LPN Staffing Hours per Resident per Day
1.48164
Adjusted RN Staffing Hours per Resident per Day
0.45148
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62800
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
50
Cycle 1 Total Health Score
150
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
100.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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