King's Grant Retirement Commun - Martinsville Nursing Home
General Information
UPDATEFederal Provider Number
495408
Provider Name
KING'S GRANT RETIREMENT COMMUN
Provider Address
350 KING'S WAY ROAD
MARTINSVILLE, VA 24112
MARTINSVILLE, VA 24112
Provider Phone Number
2766341000
Provider SSA County
561
Provider County Name
Martinsville City
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNNYSIDE PRESBYTERIAN HOME
Date First Approved to Provide Medicare and Medicaid services
2010-11-30
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
3
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
4.58000
Reported LPN Staffing Hours per Resident per Day
3.14667
Reported RN Staffing Hours per Resident per Day
1.00167
Reported Licensed Staffing Hours per Resident per Day
4.14833
Reported Total Nurse Staffing Hours per Resident per Day
8.72834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50500
Expected CNA Staffing Hours per Resident per Day
2.39062
Expected LPN Staffing Hours per Resident per Day
0.56930
Expected RN Staffing Hours per Resident per Day
1.03152
Expected Total Nurse Staffing Hours per Resident per Day
3.99145
Adjusted CNA Staffing Hours per Resident per Day
4.70085
Adjusted LPN Staffing Hours per Resident per Day
4.58759
Adjusted RN Staffing Hours per Resident per Day
0.72557
Adjusted Total Nurse Staffing Hours per Resident per Day
8.81461
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-11
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.00000
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
Nursiong Homes Nearby
Blue Ridge Rehab Cent
300 Blue Ridge Street |
MARTINSVILLE VA 24112 | 3.9 miles away
Golden Livingcenter- Martinsvlle
1607 Spruce Street |
MARTINSVILLE VA 24112 | 5 miles away
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