Lake Emory Post Acute Care - Inman Nursing Home
General Information
UPDATEFederal Provider Number
425303
Provider Name
LAKE EMORY POST ACUTE CARE
Provider Address
59 BLACKSTOCK ROAD
INMAN, SC 29349
INMAN, SC 29349
Provider Phone Number
(864) 472-2028
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF SOUTH CAROLINA AT CAMP CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-02-15
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.85625
Reported LPN Staffing Hours per Resident per Day
0.70563
Reported RN Staffing Hours per Resident per Day
0.93000
Reported Licensed Staffing Hours per Resident per Day
1.63563
Reported Total Nurse Staffing Hours per Resident per Day
3.49188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04438
Expected CNA Staffing Hours per Resident per Day
2.58235
Expected LPN Staffing Hours per Resident per Day
0.61469
Expected RN Staffing Hours per Resident per Day
1.00420
Expected Total Nurse Staffing Hours per Resident per Day
4.20124
Adjusted CNA Staffing Hours per Resident per Day
1.76377
Adjusted LPN Staffing Hours per Resident per Day
0.95280
Adjusted RN Staffing Hours per Resident per Day
0.69199
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35030
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
453
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
453
Total Weighted Health Survey Score
151.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
559798
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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