Cabell Health Care Center - Culloden Nursing Home
General Information
UPDATEFederal Provider Number
515192
Provider Name
CABELL HEALTH CARE CENTER
Provider Address
30 HIDDEN BROOK WAY
CULLODEN, WV 25510
CULLODEN, WV 25510
Provider Phone Number
(304) 390-5709
Provider SSA County
50
Provider County Name
Cabell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CABELL HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2012-06-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
2
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
2.20941
Reported LPN Staffing Hours per Resident per Day
1.42941
Reported RN Staffing Hours per Resident per Day
0.76294
Reported Licensed Staffing Hours per Resident per Day
2.19235
Reported Total Nurse Staffing Hours per Resident per Day
4.40176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01353
Expected CNA Staffing Hours per Resident per Day
2.65497
Expected LPN Staffing Hours per Resident per Day
0.63246
Expected RN Staffing Hours per Resident per Day
1.06705
Expected Total Nurse Staffing Hours per Resident per Day
4.35447
Adjusted CNA Staffing Hours per Resident per Day
2.04192
Adjusted LPN Staffing Hours per Resident per Day
1.87587
Adjusted RN Staffing Hours per Resident per Day
0.53425
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07467
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
82
Cycle 1 Total Health Score
246
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2012-06-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
182.80000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
99710
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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