Chase City Health And Rehab Center - Chase City Nursing Home

General Information

UPDATE
Federal Provider Number
495380
Provider Name
CHASE CITY HEALTH AND REHAB CENTER
Provider Address
5539 HIGHWAY FORTY SEVEN
CHASE CITY, VA 23924
Provider Phone Number
(434) 372-8885
Provider SSA County
580
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHASE CITY HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-11-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.14435
Reported LPN Staffing Hours per Resident per Day
0.89565
Reported RN Staffing Hours per Resident per Day
0.51130
Reported Licensed Staffing Hours per Resident per Day
1.40696
Reported Total Nurse Staffing Hours per Resident per Day
3.55130
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04391
Expected CNA Staffing Hours per Resident per Day
2.51957
Expected LPN Staffing Hours per Resident per Day
0.63157
Expected RN Staffing Hours per Resident per Day
1.02372
Expected Total Nurse Staffing Hours per Resident per Day
4.17487
Adjusted CNA Staffing Hours per Resident per Day
2.08829
Adjusted LPN Staffing Hours per Resident per Day
1.17705
Adjusted RN Staffing Hours per Resident per Day
0.37319
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42884
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
20
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
106
Cycle 3 Total Health Score
258
Total Weighted Health Survey Score
95.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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