C M Tucker Nursing Care Center / Stone & Fewell - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
425074
Provider Name
C M TUCKER NURSING CARE CENTER / STONE & FEWELL
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
252
Number of Residents in Certified Beds
70
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
1970-09-25
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
4.04143
Reported LPN Staffing Hours per Resident per Day
1.34714
Reported RN Staffing Hours per Resident per Day
1.01571
Reported Licensed Staffing Hours per Resident per Day
2.36286
Reported Total Nurse Staffing Hours per Resident per Day
6.40428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07643
Expected CNA Staffing Hours per Resident per Day
2.52816
Expected LPN Staffing Hours per Resident per Day
0.54744
Expected RN Staffing Hours per Resident per Day
0.74000
Expected Total Nurse Staffing Hours per Resident per Day
3.81560
Adjusted CNA Staffing Hours per Resident per Day
3.92239
Adjusted LPN Staffing Hours per Resident per Day
2.04246
Adjusted RN Staffing Hours per Resident per Day
1.02559
Adjusted Total Nurse Staffing Hours per Resident per Day
6.76564
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-01-29
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
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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