Consulate Health Care Of Woodstock - Woodstock Nursing Home
General Information
UPDATEFederal Provider Number
495315
Provider Name
CONSULATE HEALTH CARE OF WOODSTOCK
Provider Address
803 SOUTH MAIN ST
WOODSTOCK, VA 22664
WOODSTOCK, VA 22664
Provider Phone Number
(540) 459-5676
Provider SSA County
850
Provider County Name
Shenandoah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODSTOCK FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-02-17
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.81265
Reported LPN Staffing Hours per Resident per Day
0.87831
Reported RN Staffing Hours per Resident per Day
0.84036
Reported Licensed Staffing Hours per Resident per Day
1.71867
Reported Total Nurse Staffing Hours per Resident per Day
3.53132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14096
Expected CNA Staffing Hours per Resident per Day
2.36696
Expected LPN Staffing Hours per Resident per Day
0.64806
Expected RN Staffing Hours per Resident per Day
1.21985
Expected Total Nurse Staffing Hours per Resident per Day
4.23486
Adjusted CNA Staffing Hours per Resident per Day
1.87908
Adjusted LPN Staffing Hours per Resident per Day
1.12489
Adjusted RN Staffing Hours per Resident per Day
0.51475
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36124
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
59.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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