Holbrook Nursing Home - Buckhannon Nursing Home
General Information
UPDATEFederal Provider Number
515076
Provider Name
HOLBROOK NURSING HOME
Provider Address
183 HOLBROOK ROAD
BUCKHANNON, WV 26201
BUCKHANNON, WV 26201
Provider Phone Number
(304) 472-3280
Provider SSA County
480
Provider County Name
Upshur
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLBROOK NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-09-04
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.60667
Reported LPN Staffing Hours per Resident per Day
1.02778
Reported RN Staffing Hours per Resident per Day
0.77500
Reported Licensed Staffing Hours per Resident per Day
1.80278
Reported Total Nurse Staffing Hours per Resident per Day
4.40945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.43738
Expected LPN Staffing Hours per Resident per Day
0.64367
Expected RN Staffing Hours per Resident per Day
1.07617
Expected Total Nurse Staffing Hours per Resident per Day
4.15721
Adjusted CNA Staffing Hours per Resident per Day
2.62413
Adjusted LPN Staffing Hours per Resident per Day
1.32531
Adjusted RN Staffing Hours per Resident per Day
0.53810
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27548
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-02-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
43.33300
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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Nursiong Homes Nearby
St. Joseph's Hospital, D/p
Amalia Drive #1 |
BUCKHANNON WV 26201 | 1.6 miles away