Kingston Nursing Center - Conway Nursing Home
General Information
UPDATEFederal Provider Number
425173
Provider Name
KINGSTON NURSING CENTER
Provider Address
2379 CYPRESS CIRCLE
CONWAY, SC 29526
CONWAY, SC 29526
Provider Phone Number
(843) 347-8179
Provider SSA County
250
Provider County Name
Horry
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CONWAY HOSPITAL LONG TERM CARE SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-16
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
5
Health Inspection Rating Footnote
QM Rating
2
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
1.88182
Reported LPN Staffing Hours per Resident per Day
1.07159
Reported RN Staffing Hours per Resident per Day
0.69489
Reported Licensed Staffing Hours per Resident per Day
1.76648
Reported Total Nurse Staffing Hours per Resident per Day
3.64830
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.48096
Expected LPN Staffing Hours per Resident per Day
0.58820
Expected RN Staffing Hours per Resident per Day
0.86041
Expected Total Nurse Staffing Hours per Resident per Day
3.92958
Adjusted CNA Staffing Hours per Resident per Day
1.86114
Adjusted LPN Staffing Hours per Resident per Day
1.51210
Adjusted RN Staffing Hours per Resident per Day
0.60346
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74237
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
2015-02-20
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
4.00000
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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