Loris Rehab And Nursing Center, Llc - Loris Nursing Home
General Information
UPDATEFederal Provider Number
425086
Provider Name
LORIS REHAB AND NURSING CENTER, LLC
Provider Address
3620 STEVENS STREET
LORIS, SC 29569
LORIS, SC 29569
Provider Phone Number
(843) 716-7106
Provider SSA County
250
Provider County Name
Horry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LORIS REHAB AND NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1971-12-06
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
2.12800
Reported LPN Staffing Hours per Resident per Day
1.09867
Reported RN Staffing Hours per Resident per Day
0.57067
Reported Licensed Staffing Hours per Resident per Day
1.66933
Reported Total Nurse Staffing Hours per Resident per Day
3.79734
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07600
Expected CNA Staffing Hours per Resident per Day
2.40507
Expected LPN Staffing Hours per Resident per Day
0.64699
Expected RN Staffing Hours per Resident per Day
1.01656
Expected Total Nurse Staffing Hours per Resident per Day
4.06862
Adjusted CNA Staffing Hours per Resident per Day
2.17103
Adjusted LPN Staffing Hours per Resident per Day
1.40944
Adjusted RN Staffing Hours per Resident per Day
0.41946
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76214
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-01-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
28.66700
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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