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Colonial Heights Health Care C - Colonial Heights Nursing Home

General Information

UPDATE
Federal Provider Number
495115
Provider Name
COLONIAL HEIGHTS HEALTH CARE C
Provider Address
831 ELLERSLIE AVE
COLONIAL HEIGHTS, VA 23834
Provider Phone Number
(804) 526-6851
Provider SSA County
212
Provider County Name
Colonial Heights City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
196
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL HEIGHTS OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1979-03-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21696
Reported LPN Staffing Hours per Resident per Day
0.90292
Reported RN Staffing Hours per Resident per Day
0.80263
Reported Licensed Staffing Hours per Resident per Day
1.70556
Reported Total Nurse Staffing Hours per Resident per Day
3.92251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08743
Expected CNA Staffing Hours per Resident per Day
2.43502
Expected LPN Staffing Hours per Resident per Day
0.61289
Expected RN Staffing Hours per Resident per Day
1.04221
Expected Total Nurse Staffing Hours per Resident per Day
4.09011
Adjusted CNA Staffing Hours per Resident per Day
2.23397
Adjusted LPN Staffing Hours per Resident per Day
1.22277
Adjusted RN Staffing Hours per Resident per Day
0.57544
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86573
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
70
Cycle 1 Total Health Score
210
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
157.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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