Envoy Of Staunton, Llc - Staunton Nursing Home
General Information
UPDATEFederal Provider Number
495243
Provider Name
ENVOY OF STAUNTON, LLC
Provider Address
512 HOUSTON STREET
STAUNTON, VA 24402
STAUNTON, VA 24402
Provider Phone Number
(540) 886-2335
Provider SSA County
891
Provider County Name
Staunton City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
162
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF STAUNTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-06
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
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90556
Reported LPN Staffing Hours per Resident per Day
0.83488
Reported RN Staffing Hours per Resident per Day
0.33426
Reported Licensed Staffing Hours per Resident per Day
1.16914
Reported Total Nurse Staffing Hours per Resident per Day
3.07470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05031
Expected CNA Staffing Hours per Resident per Day
2.26253
Expected LPN Staffing Hours per Resident per Day
0.61089
Expected RN Staffing Hours per Resident per Day
1.01130
Expected Total Nurse Staffing Hours per Resident per Day
3.88472
Adjusted CNA Staffing Hours per Resident per Day
2.06657
Adjusted LPN Staffing Hours per Resident per Day
1.13433
Adjusted RN Staffing Hours per Resident per Day
0.24697
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19040
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
38
Cycle 1 Total Health Score
114
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
97.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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