Envoy At The Meadows - Goochland Nursing Home
General Information
UPDATEFederal Provider Number
495236
Provider Name
ENVOY AT THE MEADOWS
Provider Address
2715 DOGTOWN ROAD
GOOCHLAND, VA 23063
GOOCHLAND, VA 23063
Provider Phone Number
8045564418
Provider SSA County
370
Provider County Name
Goochland
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF GOOCHLAND, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-12
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
2.09658
Reported LPN Staffing Hours per Resident per Day
1.05753
Reported RN Staffing Hours per Resident per Day
0.58082
Reported Licensed Staffing Hours per Resident per Day
1.63836
Reported Total Nurse Staffing Hours per Resident per Day
3.73493
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19384
Expected CNA Staffing Hours per Resident per Day
2.27302
Expected LPN Staffing Hours per Resident per Day
0.62849
Expected RN Staffing Hours per Resident per Day
0.99056
Expected Total Nurse Staffing Hours per Resident per Day
3.89208
Adjusted CNA Staffing Hours per Resident per Day
2.26323
Adjusted LPN Staffing Hours per Resident per Day
1.39659
Adjusted RN Staffing Hours per Resident per Day
0.43812
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86814
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
115
Cycle 1 Total Health Score
279
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-01-31
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
172.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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