Envoy Of Lawrenceville, Llc - Lawrenceville Nursing Home

General Information

UPDATE
Federal Provider Number
495192
Provider Name
ENVOY OF LAWRENCEVILLE, LLC
Provider Address
1722 LAWRENCEVILLE PLANK ROAD
LAWRENCEVILLE, VA 23868
Provider Phone Number
4348484766
Provider SSA County
120
Provider County Name
Brunswick
Ownership Type
For profit - Partnership
Number of Certified Beds
77
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF LAWRENCEVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79867
Reported LPN Staffing Hours per Resident per Day
0.97267
Reported RN Staffing Hours per Resident per Day
0.44533
Reported Licensed Staffing Hours per Resident per Day
1.41800
Reported Total Nurse Staffing Hours per Resident per Day
3.21667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09067
Expected CNA Staffing Hours per Resident per Day
2.30126
Expected LPN Staffing Hours per Resident per Day
0.64897
Expected RN Staffing Hours per Resident per Day
1.06304
Expected Total Nurse Staffing Hours per Resident per Day
4.01327
Adjusted CNA Staffing Hours per Resident per Day
1.91782
Adjusted LPN Staffing Hours per Resident per Day
1.24399
Adjusted RN Staffing Hours per Resident per Day
0.31302
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23080
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-10
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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