Fountain Inn Convalescent Center - Fountain Inn Nursing Home
General Information
UPDATEFederal Provider Number
425168
Provider Name
FOUNTAIN INN CONVALESCENT CENTER
Provider Address
501 GULLIVER ST
FOUNTAIN INN, SC 29644
FOUNTAIN INN, SC 29644
Provider Phone Number
(864) 862-2554
Provider SSA County
220
Provider County Name
Greenville
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
A&R ENTERPRISES,INC
Date First Approved to Provide Medicare and Medicaid services
1989-01-05
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.42143
Reported LPN Staffing Hours per Resident per Day
1.13265
Reported RN Staffing Hours per Resident per Day
0.73367
Reported Licensed Staffing Hours per Resident per Day
1.86633
Reported Total Nurse Staffing Hours per Resident per Day
4.28775
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13367
Expected CNA Staffing Hours per Resident per Day
2.43334
Expected LPN Staffing Hours per Resident per Day
0.63182
Expected RN Staffing Hours per Resident per Day
1.10346
Expected Total Nurse Staffing Hours per Resident per Day
4.16862
Adjusted CNA Staffing Hours per Resident per Day
2.44169
Adjusted LPN Staffing Hours per Resident per Day
1.48792
Adjusted RN Staffing Hours per Resident per Day
0.49680
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14610
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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