Mccoy Memorial Nursing Center - Bishopville Nursing Home
General Information
UPDATEFederal Provider Number
425174
Provider Name
MCCOY MEMORIAL NURSING CENTER
Provider Address
207 CHAPPELL DRIVE
BISHOPVILLE, SC 29010
BISHOPVILLE, SC 29010
Provider Phone Number
8034845636
Provider SSA County
300
Provider County Name
Lee
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COOKE ASSOCIATES OF BISHOPVILLE,LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-21
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.94248
Reported LPN Staffing Hours per Resident per Day
0.91283
Reported RN Staffing Hours per Resident per Day
0.46991
Reported Licensed Staffing Hours per Resident per Day
1.38274
Reported Total Nurse Staffing Hours per Resident per Day
3.32522
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04027
Expected CNA Staffing Hours per Resident per Day
2.27812
Expected LPN Staffing Hours per Resident per Day
0.59651
Expected RN Staffing Hours per Resident per Day
0.88927
Expected Total Nurse Staffing Hours per Resident per Day
3.76391
Adjusted CNA Staffing Hours per Resident per Day
2.09219
Adjusted LPN Staffing Hours per Resident per Day
1.27013
Adjusted RN Staffing Hours per Resident per Day
0.39484
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56109
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-02-25
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
50.00000
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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