Bon Secours Depaul,tcc - Norfolk Nursing Home

General Information

UPDATE
Federal Provider Number
495346
Provider Name
BON SECOURS DEPAUL,TCC
Provider Address
150 KINGSLEY LANE
NORFOLK, VA 23505
Provider Phone Number
7578895020
Provider SSA County
641
Provider County Name
Norfolk City
Ownership Type
Non profit - Church related
Number of Certified Beds
24
Number of Residents in Certified Beds
16
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BON SECOURS DEPAUL MEDICAL CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-06-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30313
Reported LPN Staffing Hours per Resident per Day
1.15625
Reported RN Staffing Hours per Resident per Day
2.55313
Reported Licensed Staffing Hours per Resident per Day
3.70938
Reported Total Nurse Staffing Hours per Resident per Day
6.01251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.48438
Expected CNA Staffing Hours per Resident per Day
2.35416
Expected LPN Staffing Hours per Resident per Day
0.77928
Expected RN Staffing Hours per Resident per Day
1.72984
Expected Total Nurse Staffing Hours per Resident per Day
4.86329
Adjusted CNA Staffing Hours per Resident per Day
2.40051
Adjusted LPN Staffing Hours per Resident per Day
1.23150
Adjusted RN Staffing Hours per Resident per Day
1.10281
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98342
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
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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