Manorcare Health Services-imperial - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
495283
Provider Name
MANORCARE HEALTH SERVICES-IMPERIAL
Provider Address
1719 BELLEVUE AVENUE
RICHMOND, VA 23227
RICHMOND, VA 23227
Provider Phone Number
(804) 262-7364
Provider SSA County
430
Provider County Name
Henrico
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE-IMPERIAL OF RICHMOND VA LLC
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.86466
Reported LPN Staffing Hours per Resident per Day
0.78405
Reported RN Staffing Hours per Resident per Day
0.68060
Reported Licensed Staffing Hours per Resident per Day
1.46466
Reported Total Nurse Staffing Hours per Resident per Day
3.32931
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13578
Expected CNA Staffing Hours per Resident per Day
2.54413
Expected LPN Staffing Hours per Resident per Day
0.62654
Expected RN Staffing Hours per Resident per Day
1.00848
Expected Total Nurse Staffing Hours per Resident per Day
4.17915
Adjusted CNA Staffing Hours per Resident per Day
1.79838
Adjusted LPN Staffing Hours per Resident per Day
1.03866
Adjusted RN Staffing Hours per Resident per Day
0.50427
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21121
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
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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