Coliseum Convalescent And Rehabilitation Center - Hampton Nursing Home
General Information
UPDATEFederal Provider Number
495305
Provider Name
COLISEUM CONVALESCENT AND REHABILITATION CENTER
Provider Address
305 MARCELLA ROAD
HAMPTON, VA 23666
HAMPTON, VA 23666
Provider Phone Number
(757) 827-8953
Provider SSA County
411
Provider County Name
Hampton City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VIRGINIA HEALTH SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09567
Reported LPN Staffing Hours per Resident per Day
1.10400
Reported RN Staffing Hours per Resident per Day
0.38700
Reported Licensed Staffing Hours per Resident per Day
1.49100
Reported Total Nurse Staffing Hours per Resident per Day
3.58667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01433
Expected CNA Staffing Hours per Resident per Day
2.55509
Expected LPN Staffing Hours per Resident per Day
0.69065
Expected RN Staffing Hours per Resident per Day
1.02836
Expected Total Nurse Staffing Hours per Resident per Day
4.27410
Adjusted CNA Staffing Hours per Resident per Day
2.01251
Adjusted LPN Staffing Hours per Resident per Day
1.32676
Adjusted RN Staffing Hours per Resident per Day
0.28119
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38259
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-13
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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