Magnolia Place - Greenville - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
425361
Provider Name
MAGNOLIA PLACE - GREENVILLE
Provider Address
35 SOUTHPOINT DRIVE
GREENVILLE, SC 29607
GREENVILLE, SC 29607
Provider Phone Number
(864) 288-1415
Provider SSA County
220
Provider County Name
Greenville
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF SOUTH CAROLINA AT MAGNOLIA PLACE AT GREENVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-10
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.30182
Reported LPN Staffing Hours per Resident per Day
0.97136
Reported RN Staffing Hours per Resident per Day
0.78818
Reported Licensed Staffing Hours per Resident per Day
1.75955
Reported Total Nurse Staffing Hours per Resident per Day
4.06136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02591
Expected CNA Staffing Hours per Resident per Day
2.46941
Expected LPN Staffing Hours per Resident per Day
0.66097
Expected RN Staffing Hours per Resident per Day
1.10778
Expected Total Nurse Staffing Hours per Resident per Day
4.23816
Adjusted CNA Staffing Hours per Resident per Day
2.28718
Adjusted LPN Staffing Hours per Resident per Day
1.21976
Adjusted RN Staffing Hours per Resident per Day
0.53163
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86275
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2013-11-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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