Laurel Baye Healthcare Of Orangeburg - Orangeburg Nursing Home
General Information
UPDATEFederal Provider Number
425116
Provider Name
LAUREL BAYE HEALTHCARE OF ORANGEBURG
Provider Address
575 STONEWALL JACKSON BOULEVARD
ORANGEBURG, SC 29115
ORANGEBURG, SC 29115
Provider Phone Number
(803) 534-7771
Provider SSA County
370
Provider County Name
Orangeburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT DOVE HEALTHCARE OF ORANGEBURG, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.93939
Reported LPN Staffing Hours per Resident per Day
1.21212
Reported RN Staffing Hours per Resident per Day
0.32980
Reported Licensed Staffing Hours per Resident per Day
1.54192
Reported Total Nurse Staffing Hours per Resident per Day
3.48131
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01717
Expected CNA Staffing Hours per Resident per Day
2.56899
Expected LPN Staffing Hours per Resident per Day
0.66279
Expected RN Staffing Hours per Resident per Day
1.13344
Expected Total Nurse Staffing Hours per Resident per Day
4.36523
Adjusted CNA Staffing Hours per Resident per Day
1.85235
Adjusted LPN Staffing Hours per Resident per Day
1.51791
Adjusted RN Staffing Hours per Resident per Day
0.21741
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21468
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
40.66700
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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