Madison, The - Morgantown Nursing Home
General Information
UPDATEFederal Provider Number
515104
Provider Name
MADISON, THE
Provider Address
161 BAKERS RIDGE ROAD
MORGANTOWN, WV 26508
MORGANTOWN, WV 26508
Provider Phone Number
(304) 285-0692
Provider SSA County
300
Provider County Name
Monongalia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
161 BAKERS RIDGE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.12705
Reported LPN Staffing Hours per Resident per Day
0.42869
Reported RN Staffing Hours per Resident per Day
1.10574
Reported Licensed Staffing Hours per Resident per Day
1.53443
Reported Total Nurse Staffing Hours per Resident per Day
3.66148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12295
Expected CNA Staffing Hours per Resident per Day
2.40111
Expected LPN Staffing Hours per Resident per Day
0.64445
Expected RN Staffing Hours per Resident per Day
1.16580
Expected Total Nurse Staffing Hours per Resident per Day
4.21135
Adjusted CNA Staffing Hours per Resident per Day
2.17364
Adjusted LPN Staffing Hours per Resident per Day
0.55212
Adjusted RN Staffing Hours per Resident per Day
0.70871
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50459
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
40
Cycle 2 Standard Health Survey Date
2012-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2010-06-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
28
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
51.33300
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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