Heritage Hall King George - King George Nursing Home
General Information
UPDATEFederal Provider Number
495300
Provider Name
HERITAGE HALL KING GEORGE
Provider Address
10051 FOXES WAY
KING GEORGE, VA 22485
KING GEORGE, VA 22485
Provider Phone Number
5407754000
Provider SSA County
490
Provider County Name
King George
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
90
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
1995-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10222
Reported LPN Staffing Hours per Resident per Day
0.59833
Reported RN Staffing Hours per Resident per Day
0.79167
Reported Licensed Staffing Hours per Resident per Day
1.39000
Reported Total Nurse Staffing Hours per Resident per Day
3.49222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17167
Expected CNA Staffing Hours per Resident per Day
2.32247
Expected LPN Staffing Hours per Resident per Day
0.61886
Expected RN Staffing Hours per Resident per Day
1.08647
Expected Total Nurse Staffing Hours per Resident per Day
4.02779
Adjusted CNA Staffing Hours per Resident per Day
2.22101
Adjusted LPN Staffing Hours per Resident per Day
0.80247
Adjusted RN Staffing Hours per Resident per Day
0.54446
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49491
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-14
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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