Laurel Baye Healthcare Of Williston Llc - Williston Nursing Home
General Information
UPDATEFederal Provider Number
425297
Provider Name
LAUREL BAYE HEALTHCARE OF WILLISTON LLC
Provider Address
5721 SPRINGFIELD HWY
WILLISTON, SC 29853
WILLISTON, SC 29853
Provider Phone Number
(803) 266-3229
Provider SSA County
50
Provider County Name
Barnwell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAUREL BAYE HEALTHCARE OF WILLISTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-10-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.17500
Reported LPN Staffing Hours per Resident per Day
1.14868
Reported RN Staffing Hours per Resident per Day
0.39079
Reported Licensed Staffing Hours per Resident per Day
1.53947
Reported Total Nurse Staffing Hours per Resident per Day
3.71447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08816
Expected CNA Staffing Hours per Resident per Day
2.49300
Expected LPN Staffing Hours per Resident per Day
0.65893
Expected RN Staffing Hours per Resident per Day
1.00440
Expected Total Nurse Staffing Hours per Resident per Day
4.15633
Adjusted CNA Staffing Hours per Resident per Day
2.14071
Adjusted LPN Staffing Hours per Resident per Day
1.44689
Adjusted RN Staffing Hours per Resident per Day
0.29072
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60238
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
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
12
Cycle 2 Standard Health Survey Date
2013-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
56.00000
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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