Jolley Acres Healthcare Center - Orangeburg Nursing Home
General Information
UPDATEFederal Provider Number
425055
Provider Name
JOLLEY ACRES HEALTHCARE CENTER
Provider Address
1180 WOLFE TRAIL
ORANGEBURG, SC 29115
ORANGEBURG, SC 29115
Provider Phone Number
(803) 534-1001
Provider SSA County
370
Provider County Name
Orangeburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALMETTO JOLLEY ACRES OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1980-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.39118
Reported LPN Staffing Hours per Resident per Day
0.82059
Reported RN Staffing Hours per Resident per Day
0.85588
Reported Licensed Staffing Hours per Resident per Day
1.67647
Reported Total Nurse Staffing Hours per Resident per Day
4.06765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01569
Expected CNA Staffing Hours per Resident per Day
2.28162
Expected LPN Staffing Hours per Resident per Day
0.61345
Expected RN Staffing Hours per Resident per Day
0.92538
Expected Total Nurse Staffing Hours per Resident per Day
3.82044
Adjusted CNA Staffing Hours per Resident per Day
2.57152
Adjusted LPN Staffing Hours per Resident per Day
1.11027
Adjusted RN Staffing Hours per Resident per Day
0.69109
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29172
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
2015-03-31
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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