E.a. Hawse Nursing And Rehabilitation Center, Llc - Baker Nursing Home
General Information
UPDATEFederal Provider Number
515173
Provider Name
E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC
Provider Address
P.O BOX 70
BAKER, WV 26801
BAKER, WV 26801
Provider Phone Number
3048975903
Provider SSA County
150
Provider County Name
Hardy
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
E.A. HAWSE NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2000-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.95083
Reported LPN Staffing Hours per Resident per Day
0.55250
Reported RN Staffing Hours per Resident per Day
0.77250
Reported Licensed Staffing Hours per Resident per Day
1.32500
Reported Total Nurse Staffing Hours per Resident per Day
3.27583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10583
Expected CNA Staffing Hours per Resident per Day
2.57420
Expected LPN Staffing Hours per Resident per Day
0.67166
Expected RN Staffing Hours per Resident per Day
1.07773
Expected Total Nurse Staffing Hours per Resident per Day
4.32359
Adjusted CNA Staffing Hours per Resident per Day
1.85951
Adjusted LPN Staffing Hours per Resident per Day
0.68275
Adjusted RN Staffing Hours per Resident per Day
0.53558
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05407
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2009-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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