Magnolia Manor - Columbia - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
425287
Provider Name
MAGNOLIA MANOR - COLUMBIA
Provider Address
1007 N KING ST
COLUMBIA, SC 29223
COLUMBIA, SC 29223
Provider Phone Number
(803) 699-4111
Provider SSA County
390
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF SOUTH CAROLINA AT COLUMBIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-08-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.02289
Reported LPN Staffing Hours per Resident per Day
0.96747
Reported RN Staffing Hours per Resident per Day
0.65120
Reported Licensed Staffing Hours per Resident per Day
1.61867
Reported Total Nurse Staffing Hours per Resident per Day
3.64156
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06867
Expected CNA Staffing Hours per Resident per Day
2.52800
Expected LPN Staffing Hours per Resident per Day
0.71995
Expected RN Staffing Hours per Resident per Day
1.11657
Expected Total Nurse Staffing Hours per Resident per Day
4.36452
Adjusted CNA Staffing Hours per Resident per Day
1.96343
Adjusted LPN Staffing Hours per Resident per Day
1.11536
Adjusted RN Staffing Hours per Resident per Day
0.43578
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36320
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2013-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
51960
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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