Grayson Rehabilitation And Health Care Center - Independence Nursing Home
General Information
UPDATEFederal Provider Number
495331
Provider Name
GRAYSON REHABILITATION AND HEALTH CARE CENTER
Provider Address
400 SOUTH INDEPENDENCE AVENUE
INDEPENDENCE, VA 24348
INDEPENDENCE, VA 24348
Provider Phone Number
(276) 773-0303
Provider SSA County
380
Provider County Name
Grayson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAYSON FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-08-04
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
1.87143
Reported LPN Staffing Hours per Resident per Day
0.96639
Reported RN Staffing Hours per Resident per Day
0.51471
Reported Licensed Staffing Hours per Resident per Day
1.48109
Reported Total Nurse Staffing Hours per Resident per Day
3.35253
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01008
Expected CNA Staffing Hours per Resident per Day
2.44795
Expected LPN Staffing Hours per Resident per Day
0.64014
Expected RN Staffing Hours per Resident per Day
0.99247
Expected Total Nurse Staffing Hours per Resident per Day
4.08056
Adjusted CNA Staffing Hours per Resident per Day
1.87583
Adjusted LPN Staffing Hours per Resident per Day
1.25301
Adjusted RN Staffing Hours per Resident per Day
0.38751
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31173
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.66700
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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