Dinwiddie Health And Rehab Center - Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
495398
Provider Name
DINWIDDIE HEALTH AND REHAB CENTER
Provider Address
46 DIAMOND DRIVE
PETERSBURG, VA 23803
PETERSBURG, VA 23803
Provider Phone Number
(804) 518-0780
Provider SSA County
701
Provider County Name
Petersburg City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DINWIDDIE HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2008-10-28
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
5
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
2.00000
Reported LPN Staffing Hours per Resident per Day
0.85862
Reported RN Staffing Hours per Resident per Day
0.54310
Reported Licensed Staffing Hours per Resident per Day
1.40172
Reported Total Nurse Staffing Hours per Resident per Day
3.40172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09397
Expected CNA Staffing Hours per Resident per Day
2.37080
Expected LPN Staffing Hours per Resident per Day
0.67909
Expected RN Staffing Hours per Resident per Day
1.13988
Expected Total Nurse Staffing Hours per Resident per Day
4.18977
Adjusted CNA Staffing Hours per Resident per Day
2.06993
Adjusted LPN Staffing Hours per Resident per Day
1.04943
Adjusted RN Staffing Hours per Resident per Day
0.35601
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27273
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
62
Cycle 1 Total Health Score
186
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
124.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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