Hidden Valley Center - Oak Hill Nursing Home
General Information
UPDATEFederal Provider Number
515147
Provider Name
HIDDEN VALLEY CENTER
Provider Address
422 23RD STREET
OAK HILL, WV 25901
OAK HILL, WV 25901
Provider Phone Number
(304) 465-1903
Provider SSA County
90
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
422 23RD STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-10-02
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.14231
Reported LPN Staffing Hours per Resident per Day
0.99295
Reported RN Staffing Hours per Resident per Day
0.57372
Reported Licensed Staffing Hours per Resident per Day
1.56667
Reported Total Nurse Staffing Hours per Resident per Day
3.70898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04103
Expected CNA Staffing Hours per Resident per Day
2.35487
Expected LPN Staffing Hours per Resident per Day
0.69217
Expected RN Staffing Hours per Resident per Day
1.40993
Expected Total Nurse Staffing Hours per Resident per Day
4.45698
Adjusted CNA Staffing Hours per Resident per Day
2.23221
Adjusted LPN Staffing Hours per Resident per Day
1.19067
Adjusted RN Staffing Hours per Resident per Day
0.30405
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35441
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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