Hampshire Memorial Hospital., D/p - Romney Nursing Home
General Information
UPDATEFederal Provider Number
515080
Provider Name
HAMPSHIRE MEMORIAL HOSPITAL., D/P
Provider Address
363 SUNRISE BLVD
ROMNEY, WV 26757
ROMNEY, WV 26757
Provider Phone Number
(304) 822-4561
Provider SSA County
130
Provider County Name
Hampshire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-10-14
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57667
Reported LPN Staffing Hours per Resident per Day
1.14500
Reported RN Staffing Hours per Resident per Day
0.41833
Reported Licensed Staffing Hours per Resident per Day
1.56333
Reported Total Nurse Staffing Hours per Resident per Day
4.14000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19000
Expected CNA Staffing Hours per Resident per Day
2.73241
Expected LPN Staffing Hours per Resident per Day
0.62525
Expected RN Staffing Hours per Resident per Day
0.91767
Expected Total Nurse Staffing Hours per Resident per Day
4.27533
Adjusted CNA Staffing Hours per Resident per Day
2.31385
Adjusted LPN Staffing Hours per Resident per Day
1.51995
Adjusted RN Staffing Hours per Resident per Day
0.34062
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90331
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
4
Cycle 3 Standard Health Survey Date
2011-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
26.00000
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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Nursiong Homes Nearby
Hampshire Center
260 Sunrise Boulevard |
ROMNEY WV 26757 | 0.2 mile away