Eastbrook Center Llc - Charleston Nursing Home
General Information
UPDATEFederal Provider Number
515089
Provider Name
EASTBROOK CENTER LLC
Provider Address
3819 CHESTERFIELD AVENUE
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Provider Phone Number
(304) 925-4771
Provider SSA County
190
Provider County Name
Kanawha
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
184
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTBROOK CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-09
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
4
QM Rating Footnote
Staffing Rating
3
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
2.31229
Reported LPN Staffing Hours per Resident per Day
0.69025
Reported RN Staffing Hours per Resident per Day
0.98941
Reported Licensed Staffing Hours per Resident per Day
1.67966
Reported Total Nurse Staffing Hours per Resident per Day
3.99195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10551
Expected CNA Staffing Hours per Resident per Day
2.46201
Expected LPN Staffing Hours per Resident per Day
0.70416
Expected RN Staffing Hours per Resident per Day
1.31606
Expected Total Nurse Staffing Hours per Resident per Day
4.48223
Adjusted CNA Staffing Hours per Resident per Day
2.30448
Adjusted LPN Staffing Hours per Resident per Day
0.81361
Adjusted RN Staffing Hours per Resident per Day
0.56174
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58999
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
41
Cycle 3 Number of Standard Health Deficiencies
30
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
264
Cycle 3 Standard Health Survey Date
2011-06-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
132
Cycle 3 Total Health Score
396
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
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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