Laurel Baye Healthcare Of Greenville - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
425042
Provider Name
LAUREL BAYE HEALTHCARE OF GREENVILLE
Provider Address
661 RUTHERFORD RD
GREENVILLE, SC 29609
GREENVILLE, SC 29609
Provider Phone Number
8642322442
Provider SSA County
220
Provider County Name
Greenville
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT DOVE HEALTHCARE OF GREENVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03114
Reported LPN Staffing Hours per Resident per Day
1.36096
Reported RN Staffing Hours per Resident per Day
0.62851
Reported Licensed Staffing Hours per Resident per Day
1.98947
Reported Total Nurse Staffing Hours per Resident per Day
4.02061
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06711
Expected CNA Staffing Hours per Resident per Day
2.62245
Expected LPN Staffing Hours per Resident per Day
0.64514
Expected RN Staffing Hours per Resident per Day
1.08550
Expected Total Nurse Staffing Hours per Resident per Day
4.35310
Adjusted CNA Staffing Hours per Resident per Day
1.90044
Adjusted LPN Staffing Hours per Resident per Day
1.75092
Adjusted RN Staffing Hours per Resident per Day
0.43263
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72302
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-11-02
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
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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