Magnolia Place - Spartanburg - Spartanburg Nursing Home
General Information
UPDATEFederal Provider Number
425175
Provider Name
MAGNOLIA PLACE - SPARTANBURG
Provider Address
8020 WHITE AVENUE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Provider Phone Number
(864) 542-8515
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF SOUTH CAROLINA AT MAGNOLIA PLACE AT SPARTANBURG, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-29
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88101
Reported LPN Staffing Hours per Resident per Day
0.67722
Reported RN Staffing Hours per Resident per Day
0.60696
Reported Licensed Staffing Hours per Resident per Day
1.28418
Reported Total Nurse Staffing Hours per Resident per Day
4.16519
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14367
Expected CNA Staffing Hours per Resident per Day
2.43168
Expected LPN Staffing Hours per Resident per Day
0.65775
Expected RN Staffing Hours per Resident per Day
1.22849
Expected Total Nurse Staffing Hours per Resident per Day
4.31792
Adjusted CNA Staffing Hours per Resident per Day
2.90710
Adjusted LPN Staffing Hours per Resident per Day
0.85457
Adjusted RN Staffing Hours per Resident per Day
0.36917
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88833
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-26
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
34.66700
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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