Dogwood Village Of Orange County Health And Rehab - Orange Nursing Home
General Information
UPDATEFederal Provider Number
495359
Provider Name
DOGWOOD VILLAGE OF ORANGE COUNTY HEALTH AND REHAB
Provider Address
120 DOGWOOD LANE
ORANGE, VA 22960
ORANGE, VA 22960
Provider Phone Number
(540) 672-2611
Provider SSA County
680
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORANGE COUNTY NURSING HOME COMMISSION
Date First Approved to Provide Medicare and Medicaid services
2002-01-15
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67630
Reported LPN Staffing Hours per Resident per Day
0.86039
Reported RN Staffing Hours per Resident per Day
0.54870
Reported Licensed Staffing Hours per Resident per Day
1.40909
Reported Total Nurse Staffing Hours per Resident per Day
4.08539
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11169
Expected CNA Staffing Hours per Resident per Day
2.55849
Expected LPN Staffing Hours per Resident per Day
0.63367
Expected RN Staffing Hours per Resident per Day
0.95056
Expected Total Nurse Staffing Hours per Resident per Day
4.14272
Adjusted CNA Staffing Hours per Resident per Day
2.56669
Adjusted LPN Staffing Hours per Resident per Day
1.12697
Adjusted RN Staffing Hours per Resident per Day
0.43131
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97512
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
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
48
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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