Ghs Greenville Medical Center Subacute Unit - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
425383
Provider Name
GHS GREENVILLE MEDICAL CENTER SUBACUTE UNIT
Provider Address
701 GROVE RD.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
Provider Phone Number
(864) 455-3754
Provider SSA County
220
Provider County Name
Greenville
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
15
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
GREENVILLE HEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
2005-01-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
2.02857
Reported RN Staffing Hours per Resident per Day
4.88571
Reported Licensed Staffing Hours per Resident per Day
6.91429
Reported Total Nurse Staffing Hours per Resident per Day
6.91428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.27594
Expected LPN Staffing Hours per Resident per Day
0.81082
Expected RN Staffing Hours per Resident per Day
1.80203
Expected Total Nurse Staffing Hours per Resident per Day
4.88878
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
2.07657
Adjusted RN Staffing Hours per Resident per Day
2.02583
Adjusted Total Nurse Staffing Hours per Resident per Day
5.70097
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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