Good Shepherd Nursing Home - Wheeling Nursing Home
General Information
UPDATEFederal Provider Number
515038
Provider Name
GOOD SHEPHERD NURSING HOME
Provider Address
159 EDGINGTON LANE
WHEELING, WV 26003
WHEELING, WV 26003
Provider Phone Number
(304) 242-1093
Provider SSA County
340
Provider County Name
Ohio
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
192
Number of Residents in Certified Beds
186
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD NURSING HOME LC
Date First Approved to Provide Medicare and Medicaid services
1971-01-15
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41022
Reported LPN Staffing Hours per Resident per Day
0.51720
Reported RN Staffing Hours per Resident per Day
0.73065
Reported Licensed Staffing Hours per Resident per Day
1.24785
Reported Total Nurse Staffing Hours per Resident per Day
3.65807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01075
Expected CNA Staffing Hours per Resident per Day
2.57917
Expected LPN Staffing Hours per Resident per Day
0.56739
Expected RN Staffing Hours per Resident per Day
0.80590
Expected Total Nurse Staffing Hours per Resident per Day
3.95246
Adjusted CNA Staffing Hours per Resident per Day
2.29297
Adjusted LPN Staffing Hours per Resident per Day
0.75659
Adjusted RN Staffing Hours per Resident per Day
0.67743
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73067
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
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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