Clay Health Care Center - Ivydale Nursing Home
General Information
UPDATEFederal Provider Number
515142
Provider Name
CLAY HEALTH CARE CENTER
Provider Address
HC 75, BOX 153
IVYDALE, WV 25113
IVYDALE, WV 25113
Provider Phone Number
3042864204
Provider SSA County
70
Provider County Name
Clay
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAY HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1996-06-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.84118
Reported LPN Staffing Hours per Resident per Day
0.81961
Reported RN Staffing Hours per Resident per Day
0.50784
Reported Licensed Staffing Hours per Resident per Day
1.32745
Reported Total Nurse Staffing Hours per Resident per Day
3.16863
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01078
Expected CNA Staffing Hours per Resident per Day
2.55844
Expected LPN Staffing Hours per Resident per Day
0.72657
Expected RN Staffing Hours per Resident per Day
1.17958
Expected Total Nurse Staffing Hours per Resident per Day
4.46459
Adjusted CNA Staffing Hours per Resident per Day
1.76581
Adjusted LPN Staffing Hours per Resident per Day
0.93628
Adjusted RN Staffing Hours per Resident per Day
0.32169
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86083
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
48
Cycle 3 Standard Health Survey Date
2011-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
Reviews: Be the first to review this provider.
Share your experience with Clay Health Care Center. You can help others by writing a review.
