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Bowling Green Health & Rehabilitation Center - Bowling Green Nursing Home

General Information

UPDATE
Federal Provider Number
495297
Provider Name
BOWLING GREEN HEALTH & REHABILITATION CENTER
Provider Address
120 ANDERSON AVENUE
BOWLING GREEN, VA 22427
Provider Phone Number
8046334839
Provider SSA County
160
Provider County Name
Caroline
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL FACILITIES OF AMERICA XL
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.03333
Reported LPN Staffing Hours per Resident per Day
1.25877
Reported RN Staffing Hours per Resident per Day
0.58289
Reported Licensed Staffing Hours per Resident per Day
1.84167
Reported Total Nurse Staffing Hours per Resident per Day
3.87499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12719
Expected CNA Staffing Hours per Resident per Day
2.43802
Expected LPN Staffing Hours per Resident per Day
0.63725
Expected RN Staffing Hours per Resident per Day
1.00572
Expected Total Nurse Staffing Hours per Resident per Day
4.08100
Adjusted CNA Staffing Hours per Resident per Day
2.04641
Adjusted LPN Staffing Hours per Resident per Day
1.63951
Adjusted RN Staffing Hours per Resident per Day
0.43306
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82742
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
36
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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