Emporia Manor Llc - Emporia Nursing Home
General Information
UPDATEFederal Provider Number
495375
Provider Name
EMPORIA MANOR LLC
Provider Address
200 WEAVER AVENUE
EMPORIA, VA 23847
EMPORIA, VA 23847
Provider Phone Number
4346346581
Provider SSA County
270
Provider County Name
Emporia City
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMPORIA MANOR
Date First Approved to Provide Medicare and Medicaid services
2004-03-30
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.66990
Reported LPN Staffing Hours per Resident per Day
0.59223
Reported RN Staffing Hours per Resident per Day
0.56699
Reported Licensed Staffing Hours per Resident per Day
1.15922
Reported Total Nurse Staffing Hours per Resident per Day
3.82912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01408
Expected CNA Staffing Hours per Resident per Day
2.60637
Expected LPN Staffing Hours per Resident per Day
0.58578
Expected RN Staffing Hours per Resident per Day
0.98972
Expected Total Nurse Staffing Hours per Resident per Day
4.18187
Adjusted CNA Staffing Hours per Resident per Day
2.51350
Adjusted LPN Staffing Hours per Resident per Day
0.83915
Adjusted RN Staffing Hours per Resident per Day
0.42806
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69088
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
62
Cycle 1 Total Health Score
150
Cycle 2 Total Number of Health Deficiencies
38
Cycle 2 Number of Standard Health Deficiencies
37
Cycle 2 Number of Complaint Health Deficiencies
21
Cycle 2 Health Deficiency Score
216
Cycle 2 Standard Health Survey Date
2013-11-22
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
156.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
3750
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Greensville Manor Llc
214 Weaver Ave |
EMPORIA VA 23847 | 0.2 mile away
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