Cedar Ridge Center - Sissonville Nursing Home
General Information
UPDATEFederal Provider Number
515087
Provider Name
CEDAR RIDGE CENTER
Provider Address
302 CEDAR RIDGE ROAD
SISSONVILLE, WV 25320
SISSONVILLE, WV 25320
Provider Phone Number
(304) 984-0046
Provider SSA County
190
Provider County Name
Kanawha
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
302 CEDAR RIDGE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-14
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.29459
Reported LPN Staffing Hours per Resident per Day
1.01171
Reported RN Staffing Hours per Resident per Day
0.52387
Reported Licensed Staffing Hours per Resident per Day
1.53559
Reported Total Nurse Staffing Hours per Resident per Day
3.83017
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04820
Expected CNA Staffing Hours per Resident per Day
2.35734
Expected LPN Staffing Hours per Resident per Day
0.67950
Expected RN Staffing Hours per Resident per Day
1.28310
Expected Total Nurse Staffing Hours per Resident per Day
4.31994
Adjusted CNA Staffing Hours per Resident per Day
2.38839
Adjusted LPN Staffing Hours per Resident per Day
1.23579
Adjusted RN Staffing Hours per Resident per Day
0.30507
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57390
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-19
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
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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