Care Haven Center - Martinsburg Nursing Home

General Information

UPDATE
Federal Provider Number
515178
Provider Name
CARE HAVEN CENTER
Provider Address
2720 CHARLES TOWN ROAD
MARTINSBURG, WV 25401
Provider Phone Number
(304) 263-0933
Provider SSA County
10
Provider County Name
Berkeley
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
2720 CHARLES TOWN ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32891
Reported LPN Staffing Hours per Resident per Day
0.74766
Reported RN Staffing Hours per Resident per Day
0.66094
Reported Licensed Staffing Hours per Resident per Day
1.40859
Reported Total Nurse Staffing Hours per Resident per Day
3.73751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16406
Expected CNA Staffing Hours per Resident per Day
2.53394
Expected LPN Staffing Hours per Resident per Day
0.76189
Expected RN Staffing Hours per Resident per Day
1.33569
Expected Total Nurse Staffing Hours per Resident per Day
4.63152
Adjusted CNA Staffing Hours per Resident per Day
2.25516
Adjusted LPN Staffing Hours per Resident per Day
0.81450
Adjusted RN Staffing Hours per Resident per Day
0.36974
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25282
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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Heartland Of Martinsburg

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