Life Care Center Of Columbia - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
425337
Provider Name
LIFE CARE CENTER OF COLUMBIA
Provider Address
2514 FARAWAY DRIVE
COLUMBIA, SC 29223
COLUMBIA, SC 29223
Provider Phone Number
(803) 865-1999
Provider SSA County
390
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
179
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RCM-COLUMBIA
Date First Approved to Provide Medicare and Medicaid services
1994-07-07
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
4
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
2.04783
Reported LPN Staffing Hours per Resident per Day
0.86652
Reported RN Staffing Hours per Resident per Day
0.74435
Reported Licensed Staffing Hours per Resident per Day
1.61087
Reported Total Nurse Staffing Hours per Resident per Day
3.65870
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09435
Expected CNA Staffing Hours per Resident per Day
2.44725
Expected LPN Staffing Hours per Resident per Day
0.65357
Expected RN Staffing Hours per Resident per Day
1.12966
Expected Total Nurse Staffing Hours per Resident per Day
4.23048
Adjusted CNA Staffing Hours per Resident per Day
2.05323
Adjusted LPN Staffing Hours per Resident per Day
1.10043
Adjusted RN Staffing Hours per Resident per Day
0.49234
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48609
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
168
Cycle 1 Standard Survey Health Date
2014-02-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
380
Cycle 3 Standard Health Survey Date
2011-11-02
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
190
Cycle 3 Total Health Score
570
Total Weighted Health Survey Score
201.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
23250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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