Envoy Of Westover Hills - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
495327
Provider Name
ENVOY OF WESTOVER HILLS
Provider Address
4403 FOREST HILL AVENUE
RICHMOND, VA 23225
RICHMOND, VA 23225
Provider Phone Number
(804) 231-0231
Provider SSA County
791
Provider County Name
Richmond City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF RICHMOND, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.92917
Reported LPN Staffing Hours per Resident per Day
0.76280
Reported RN Staffing Hours per Resident per Day
0.60804
Reported Licensed Staffing Hours per Resident per Day
1.37083
Reported Total Nurse Staffing Hours per Resident per Day
3.30001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07768
Expected CNA Staffing Hours per Resident per Day
2.38972
Expected LPN Staffing Hours per Resident per Day
0.64843
Expected RN Staffing Hours per Resident per Day
1.09864
Expected Total Nurse Staffing Hours per Resident per Day
4.13679
Adjusted CNA Staffing Hours per Resident per Day
1.98082
Adjusted LPN Staffing Hours per Resident per Day
0.97639
Adjusted RN Staffing Hours per Resident per Day
0.41354
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21554
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-13
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
62
Cycle 3 Total Health Score
186
Total Weighted Health Survey Score
102.66700
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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