C M Tucker Nursing Care Center / Roddey - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
425360
Provider Name
C M TUCKER NURSING CARE CENTER / RODDEY
Provider Address
2200 HARDEN STREET
COLUMBIA, SC 29203
COLUMBIA, SC 29203
Provider Phone Number
(803) 737-5300
Provider SSA County
390
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
308
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
Date First Approved to Provide Medicare and Medicaid services
1997-10-03
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.26536
Reported LPN Staffing Hours per Resident per Day
1.14880
Reported RN Staffing Hours per Resident per Day
0.64428
Reported Licensed Staffing Hours per Resident per Day
1.79307
Reported Total Nurse Staffing Hours per Resident per Day
6.05844
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05151
Expected CNA Staffing Hours per Resident per Day
2.28251
Expected LPN Staffing Hours per Resident per Day
0.58905
Expected RN Staffing Hours per Resident per Day
0.78574
Expected Total Nurse Staffing Hours per Resident per Day
3.65731
Adjusted CNA Staffing Hours per Resident per Day
4.58526
Adjusted LPN Staffing Hours per Resident per Day
1.61870
Adjusted RN Staffing Hours per Resident per Day
0.61268
Adjusted Total Nurse Staffing Hours per Resident per Day
6.67730
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
159
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
159
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
104.83300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
11603
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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