Carrington Place At Botetourt Commons - Daleville Nursing Home
General Information
UPDATEFederal Provider Number
495386
Provider Name
CARRINGTON PLACE AT BOTETOURT COMMONS
Provider Address
290 COMMONS PARKWAY
DALEVILLE, VA 24083
DALEVILLE, VA 24083
Provider Phone Number
(540) 966-0056
Provider SSA County
110
Provider County Name
Botetourt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOTETOURT HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-12-19
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
0.09085
Reported LPN Staffing Hours per Resident per Day
0.93293
Reported RN Staffing Hours per Resident per Day
0.74634
Reported Licensed Staffing Hours per Resident per Day
1.67927
Reported Total Nurse Staffing Hours per Resident per Day
1.77012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05732
Expected CNA Staffing Hours per Resident per Day
2.51109
Expected LPN Staffing Hours per Resident per Day
0.64356
Expected RN Staffing Hours per Resident per Day
1.12919
Expected Total Nurse Staffing Hours per Resident per Day
4.28384
Adjusted CNA Staffing Hours per Resident per Day
0.08877
Adjusted LPN Staffing Hours per Resident per Day
1.20319
Adjusted RN Staffing Hours per Resident per Day
0.49386
Adjusted Total Nurse Staffing Hours per Resident per Day
1.66560
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
12
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.66700
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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