Hanover Health And Rehabilitation Center - Mechanicsville Nursing Home
General Information
UPDATEFederal Provider Number
495266
Provider Name
HANOVER HEALTH AND REHABILITATION CENTER
Provider Address
8139 LEE DAVIS ROAD
MECHANICSVILLE, VA 23111
MECHANICSVILLE, VA 23111
Provider Phone Number
(804) 559-5030
Provider SSA County
420
Provider County Name
Hanover
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE LEAF OF HANOVER COUNTY HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-07-13
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
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
2.35347
Reported LPN Staffing Hours per Resident per Day
1.87525
Reported RN Staffing Hours per Resident per Day
1.23663
Reported Licensed Staffing Hours per Resident per Day
3.11188
Reported Total Nurse Staffing Hours per Resident per Day
5.46535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42277
Expected CNA Staffing Hours per Resident per Day
2.29477
Expected LPN Staffing Hours per Resident per Day
0.68260
Expected RN Staffing Hours per Resident per Day
1.23618
Expected Total Nurse Staffing Hours per Resident per Day
4.21355
Adjusted CNA Staffing Hours per Resident per Day
2.51647
Adjusted LPN Staffing Hours per Resident per Day
2.28018
Adjusted RN Staffing Hours per Resident per Day
0.74747
Adjusted Total Nurse Staffing Hours per Resident per Day
5.22844
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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