Dockside Health & Rehab Center - Locust Hill Nursing Home
General Information
UPDATEFederal Provider Number
490000000000000000000000000000
Provider Name
DOCKSIDE HEALTH & REHAB CENTER
Provider Address
PO BOX 70
LOCUST HILL, VA 23092
LOCUST HILL, VA 23092
Provider Phone Number
(804) 758-5260
Provider SSA County
590
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
49
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
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
2.40408
Reported LPN Staffing Hours per Resident per Day
0.22449
Reported RN Staffing Hours per Resident per Day
0.59082
Reported Licensed Staffing Hours per Resident per Day
0.81531
Reported Total Nurse Staffing Hours per Resident per Day
3.21939
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00306
Expected CNA Staffing Hours per Resident per Day
2.01906
Expected LPN Staffing Hours per Resident per Day
0.50279
Expected RN Staffing Hours per Resident per Day
0.67232
Expected Total Nurse Staffing Hours per Resident per Day
3.19417
Adjusted CNA Staffing Hours per Resident per Day
2.92161
Adjusted LPN Staffing Hours per Resident per Day
0.37059
Adjusted RN Staffing Hours per Resident per Day
0.65662
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06273
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
82
Cycle 1 Total Health Score
246
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-08-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
159.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
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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Nursiong Homes Nearby
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