Hancock Geriatric Treatment Center - Williamsburg Nursing Home
General Information
UPDATEFederal Provider Number
49A040
Provider Name
HANCOCK GERIATRIC TREATMENT CENTER
Provider Address
4601 IRONBOUND ROAD
WILLIAMSBURG, VA 23187
WILLIAMSBURG, VA 23187
Provider Phone Number
(757) 253-5241
Provider SSA County
961
Provider County Name
Williamsburg City
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
80
Number of Residents in Certified Beds
77
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-03-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
3.79870
Reported LPN Staffing Hours per Resident per Day
0.95260
Reported RN Staffing Hours per Resident per Day
1.58831
Reported Licensed Staffing Hours per Resident per Day
2.54091
Reported Total Nurse Staffing Hours per Resident per Day
6.33961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02597
Expected CNA Staffing Hours per Resident per Day
2.02948
Expected LPN Staffing Hours per Resident per Day
0.54099
Expected RN Staffing Hours per Resident per Day
0.71878
Expected Total Nurse Staffing Hours per Resident per Day
3.28924
Adjusted CNA Staffing Hours per Resident per Day
4.59274
Adjusted LPN Staffing Hours per Resident per Day
1.46151
Adjusted RN Staffing Hours per Resident per Day
1.65112
Adjusted Total Nurse Staffing Hours per Resident per Day
7.76907
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
24
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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