Kershawhealth Karesh Long Term Care - Camden Nursing Home

General Information

UPDATE
Federal Provider Number
425080
Provider Name
KERSHAWHEALTH KARESH LONG TERM CARE
Provider Address
1315 ROBERTS STREET
CAMDEN, SC 29020
Provider Phone Number
(803) 432-4311
Provider SSA County
270
Provider County Name
Kershaw
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
96
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KERSHAWHEALTH
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.79837
Reported LPN Staffing Hours per Resident per Day
1.03261
Reported RN Staffing Hours per Resident per Day
1.01902
Reported Licensed Staffing Hours per Resident per Day
2.05163
Reported Total Nurse Staffing Hours per Resident per Day
4.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12174
Expected CNA Staffing Hours per Resident per Day
2.47569
Expected LPN Staffing Hours per Resident per Day
0.63139
Expected RN Staffing Hours per Resident per Day
0.98897
Expected Total Nurse Staffing Hours per Resident per Day
4.09605
Adjusted CNA Staffing Hours per Resident per Day
2.77351
Adjusted LPN Staffing Hours per Resident per Day
1.35744
Adjusted RN Staffing Hours per Resident per Day
0.76990
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77286
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-03-20
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.66700
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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