Laurel Baye Healthcare Blackville - Blackville Nursing Home
General Information
UPDATEFederal Provider Number
425319
Provider Name
LAUREL BAYE HEALTHCARE BLACKVILLE
Provider Address
1612 JONES BRIDGE ROAD
BLACKVILLE, SC 29817
BLACKVILLE, SC 29817
Provider Phone Number
(803) 284-4313
Provider SSA County
50
Provider County Name
Barnwell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAUREL BAYE HEALTHCARE OF BLACKVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34932
Reported LPN Staffing Hours per Resident per Day
1.44041
Reported RN Staffing Hours per Resident per Day
0.24932
Reported Licensed Staffing Hours per Resident per Day
1.68973
Reported Total Nurse Staffing Hours per Resident per Day
4.03905
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01438
Expected CNA Staffing Hours per Resident per Day
2.27181
Expected LPN Staffing Hours per Resident per Day
0.62370
Expected RN Staffing Hours per Resident per Day
0.92734
Expected Total Nurse Staffing Hours per Resident per Day
3.82285
Adjusted CNA Staffing Hours per Resident per Day
2.53742
Adjusted LPN Staffing Hours per Resident per Day
1.91684
Adjusted RN Staffing Hours per Resident per Day
0.20089
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25887
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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