Hosanna Health And Rehab Of Piedmont - Piedmont Nursing Home

General Information

UPDATE
Federal Provider Number
425314
Provider Name
HOSANNA HEALTH AND REHAB OF PIEDMONT
Provider Address
109 BENTZ ROAD
PIEDMONT, SC 29673
Provider Phone Number
8648455177
Provider SSA County
220
Provider County Name
Greenville
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW HOSANNA HEALTH & REHAB OF PIEDMONT LLC
Date First Approved to Provide Medicare and Medicaid services
1991-10-03
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32532
Reported LPN Staffing Hours per Resident per Day
0.60759
Reported RN Staffing Hours per Resident per Day
1.10316
Reported Licensed Staffing Hours per Resident per Day
1.71076
Reported Total Nurse Staffing Hours per Resident per Day
4.03607
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11772
Expected CNA Staffing Hours per Resident per Day
2.59756
Expected LPN Staffing Hours per Resident per Day
0.62902
Expected RN Staffing Hours per Resident per Day
1.03701
Expected Total Nurse Staffing Hours per Resident per Day
4.26360
Adjusted CNA Staffing Hours per Resident per Day
2.19653
Adjusted LPN Staffing Hours per Resident per Day
0.80172
Adjusted RN Staffing Hours per Resident per Day
0.79486
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81579
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-12-05
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
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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