Dundee Manor, Llc - Bennettsville Nursing Home
General Information
UPDATEFederal Provider Number
425118
Provider Name
DUNDEE MANOR, LLC
Provider Address
710 15-401 BYPASS, WEST
BENNETTSVILLE, SC 29512
BENNETTSVILLE, SC 29512
Provider Phone Number
(843) 479-6251
Provider SSA County
340
Provider County Name
Marlboro
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DUNDEE MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96190
Reported LPN Staffing Hours per Resident per Day
0.83238
Reported RN Staffing Hours per Resident per Day
0.28429
Reported Licensed Staffing Hours per Resident per Day
1.11667
Reported Total Nurse Staffing Hours per Resident per Day
3.07857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06143
Expected CNA Staffing Hours per Resident per Day
2.54194
Expected LPN Staffing Hours per Resident per Day
0.57309
Expected RN Staffing Hours per Resident per Day
0.87349
Expected Total Nurse Staffing Hours per Resident per Day
3.98852
Adjusted CNA Staffing Hours per Resident per Day
1.89379
Adjusted LPN Staffing Hours per Resident per Day
1.20553
Adjusted RN Staffing Hours per Resident per Day
0.24319
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11128
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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