Heritage Hall Dillwyn - Dillwyn Nursing Home
General Information
UPDATEFederal Provider Number
495317
Provider Name
HERITAGE HALL DILLWYN
Provider Address
119 BRICKYARD DRIVE
DILLWYN, VA 23936
DILLWYN, VA 23936
Provider Phone Number
(434) 983-2050
Provider SSA County
140
Provider County Name
Buckingham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1996-12-04
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14397
Reported LPN Staffing Hours per Resident per Day
0.61207
Reported RN Staffing Hours per Resident per Day
0.27931
Reported Licensed Staffing Hours per Resident per Day
0.89138
Reported Total Nurse Staffing Hours per Resident per Day
3.03535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08534
Expected CNA Staffing Hours per Resident per Day
2.55637
Expected LPN Staffing Hours per Resident per Day
0.63448
Expected RN Staffing Hours per Resident per Day
0.98946
Expected Total Nurse Staffing Hours per Resident per Day
4.18032
Adjusted CNA Staffing Hours per Resident per Day
2.05786
Adjusted LPN Staffing Hours per Resident per Day
0.80068
Adjusted RN Staffing Hours per Resident per Day
0.21092
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92686
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
51.33300
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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