Bon Secours-maryview Nursing C - Suffolk Nursing Home
General Information
UPDATEFederal Provider Number
495206
Provider Name
BON SECOURS-MARYVIEW NURSING C
Provider Address
4775 BRIDGE ROAD
SUFFOLK, VA 23435
SUFFOLK, VA 23435
Provider Phone Number
(757) 686-0488
Provider SSA County
892
Provider County Name
Suffolk City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BON SECOURS- MARYVIEW NURSING CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1989-12-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.94903
Reported LPN Staffing Hours per Resident per Day
1.79126
Reported RN Staffing Hours per Resident per Day
0.54029
Reported Licensed Staffing Hours per Resident per Day
2.33155
Reported Total Nurse Staffing Hours per Resident per Day
6.28058
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10728
Expected CNA Staffing Hours per Resident per Day
2.39692
Expected LPN Staffing Hours per Resident per Day
0.61093
Expected RN Staffing Hours per Resident per Day
1.04947
Expected Total Nurse Staffing Hours per Resident per Day
4.05732
Adjusted CNA Staffing Hours per Resident per Day
4.04258
Adjusted LPN Staffing Hours per Resident per Day
2.43359
Adjusted RN Staffing Hours per Resident per Day
0.38467
Adjusted Total Nurse Staffing Hours per Resident per Day
6.23969
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
50700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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