Miletree Center - Spencer Nursing Home
General Information
UPDATEFederal Provider Number
515182
Provider Name
MILETREE CENTER
Provider Address
825 SUMMIT STREET
SPENCER, WV 25276
SPENCER, WV 25276
Provider Phone Number
(304) 927-1007
Provider SSA County
430
Provider County Name
Roane
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
62
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
825 SUMMIT STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2002-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.22016
Reported LPN Staffing Hours per Resident per Day
0.65887
Reported RN Staffing Hours per Resident per Day
0.62823
Reported Licensed Staffing Hours per Resident per Day
1.28710
Reported Total Nurse Staffing Hours per Resident per Day
3.50726
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07339
Expected CNA Staffing Hours per Resident per Day
2.43993
Expected LPN Staffing Hours per Resident per Day
0.70356
Expected RN Staffing Hours per Resident per Day
1.28158
Expected Total Nurse Staffing Hours per Resident per Day
4.42506
Adjusted CNA Staffing Hours per Resident per Day
2.23269
Adjusted LPN Staffing Hours per Resident per Day
0.77728
Adjusted RN Staffing Hours per Resident per Day
0.36628
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19485
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
24
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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Nursiong Homes Nearby
Roane General Hospital, D/p
200 Hospital Drive |
SPENCER WV 25276 | 0.5 mile away