Holly Manor Nursing Home - Farmville Nursing Home
General Information
UPDATEFederal Provider Number
495339
Provider Name
HOLLY MANOR NURSING HOME
Provider Address
2003 COBB STREET
FARMVILLE, VA 23901
FARMVILLE, VA 23901
Provider Phone Number
4343926106
Provider SSA County
730
Provider County Name
Prince Edward
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE WOODLAND INC
Date First Approved to Provide Medicare and Medicaid services
1999-06-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09867
Reported LPN Staffing Hours per Resident per Day
0.98451
Reported RN Staffing Hours per Resident per Day
0.82699
Reported Licensed Staffing Hours per Resident per Day
1.81150
Reported Total Nurse Staffing Hours per Resident per Day
3.91017
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04159
Expected CNA Staffing Hours per Resident per Day
2.57088
Expected LPN Staffing Hours per Resident per Day
0.71746
Expected RN Staffing Hours per Resident per Day
1.37154
Expected Total Nurse Staffing Hours per Resident per Day
4.65988
Adjusted CNA Staffing Hours per Resident per Day
2.00301
Adjusted LPN Staffing Hours per Resident per Day
1.13895
Adjusted RN Staffing Hours per Resident per Day
0.45053
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38238
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-15
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-16
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
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
Nursiong Homes Nearby
Trinity Mission Health And Rehab Of Farmville
1575 Scott Drive Route 5 |
FARMVILLE VA 23901 | 1.6 miles away
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