Heritage Hall Tazewell - Tazewell Nursing Home
General Information
UPDATEFederal Provider Number
495152
Provider Name
HERITAGE HALL TAZEWELL
Provider Address
121 BEN BOLT AVENUE
TAZEWELL, VA 24651
TAZEWELL, VA 24651
Provider Phone Number
(276) 988-2515
Provider SSA County
920
Provider County Name
Tazewell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
142
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
1984-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.99296
Reported LPN Staffing Hours per Resident per Day
1.22007
Reported RN Staffing Hours per Resident per Day
0.49296
Reported Licensed Staffing Hours per Resident per Day
1.71303
Reported Total Nurse Staffing Hours per Resident per Day
4.70599
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04331
Expected CNA Staffing Hours per Resident per Day
2.62670
Expected LPN Staffing Hours per Resident per Day
0.69751
Expected RN Staffing Hours per Resident per Day
1.12299
Expected Total Nurse Staffing Hours per Resident per Day
4.44719
Adjusted CNA Staffing Hours per Resident per Day
2.79584
Adjusted LPN Staffing Hours per Resident per Day
1.45183
Adjusted RN Staffing Hours per Resident per Day
0.32800
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26547
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
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
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
20.66700
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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