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Centerville Care And Rehab Center - Centerville Nursing Home

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Federal Provider Number
435088
Provider Name
CENTERVILLE CARE AND REHAB CENTER
Provider Address
500 VERMILLION ST
CENTERVILLE, SD 57014
Provider Phone Number
(605) 563-2251
Provider SSA County
620
Provider County Name
Turner
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTERVILLE DEVELOPMENT CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1995-07-05
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.39615
Reported LPN Staffing Hours per Resident per Day
0.12949
Reported RN Staffing Hours per Resident per Day
0.92051
Reported Licensed Staffing Hours per Resident per Day
1.05000
Reported Total Nurse Staffing Hours per Resident per Day
3.44615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.24928
Expected LPN Staffing Hours per Resident per Day
0.57952
Expected RN Staffing Hours per Resident per Day
0.80673
Expected Total Nurse Staffing Hours per Resident per Day
3.63554
Adjusted CNA Staffing Hours per Resident per Day
2.61392
Adjusted LPN Staffing Hours per Resident per Day
0.18546
Adjusted RN Staffing Hours per Resident per Day
0.85258
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82092
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
164
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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