Louisa Health & Rehabilitation Center - Louisa Nursing Home
General Information
UPDATEFederal Provider Number
495282
Provider Name
LOUISA HEALTH & REHABILITATION CENTER
Provider Address
210 ELM STREET
LOUISA, VA 23093
LOUISA, VA 23093
Provider Phone Number
5409672250
Provider SSA County
540
Provider County Name
Louisa
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL FACILITIES OF AMERICA XXIV & XXXV
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31395
Reported LPN Staffing Hours per Resident per Day
1.04477
Reported RN Staffing Hours per Resident per Day
0.82326
Reported Licensed Staffing Hours per Resident per Day
1.86802
Reported Total Nurse Staffing Hours per Resident per Day
4.18198
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15756
Expected CNA Staffing Hours per Resident per Day
2.41822
Expected LPN Staffing Hours per Resident per Day
0.66999
Expected RN Staffing Hours per Resident per Day
1.00406
Expected Total Nurse Staffing Hours per Resident per Day
4.09226
Adjusted CNA Staffing Hours per Resident per Day
2.34790
Adjusted LPN Staffing Hours per Resident per Day
1.29430
Adjusted RN Staffing Hours per Resident per Day
0.61265
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11927
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-22
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
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
32
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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