Heartland Of Clarksburg - Clarksburg Nursing Home
General Information
UPDATEFederal Provider Number
515120
Provider Name
HEARTLAND OF CLARKSBURG
Provider Address
100 PARKWAY DRIVE
CLARKSBURG, WV 26301
CLARKSBURG, WV 26301
Provider Phone Number
(304) 624-6401
Provider SSA County
160
Provider County Name
Harrison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF CLARKSBURG WV LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.04700
Reported LPN Staffing Hours per Resident per Day
0.84350
Reported RN Staffing Hours per Resident per Day
0.59700
Reported Licensed Staffing Hours per Resident per Day
1.44050
Reported Total Nurse Staffing Hours per Resident per Day
3.48750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07150
Expected CNA Staffing Hours per Resident per Day
2.43594
Expected LPN Staffing Hours per Resident per Day
0.66066
Expected RN Staffing Hours per Resident per Day
1.09058
Expected Total Nurse Staffing Hours per Resident per Day
4.18718
Adjusted CNA Staffing Hours per Resident per Day
2.06192
Adjusted LPN Staffing Hours per Resident per Day
1.05971
Adjusted RN Staffing Hours per Resident per Day
0.40903
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35734
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
288
Cycle 1 Standard Survey Health Date
2014-01-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
144
Cycle 1 Total Health Score
432
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2012-06-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2010-04-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
62
Cycle 3 Total Health Score
186
Total Weighted Health Survey Score
300.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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