Minnie Hamilton Health Care D/p - Grantsville Nursing Home

General Information

UPDATE
Federal Provider Number
51A013
Provider Name
MINNIE HAMILTON HEALTH CARE D/P
Provider Address
186 HOSPITAL DRIVE
GRANTSVILLE, WV 26147
Provider Phone Number
3043549244
Provider SSA County
60
Provider County Name
Calhoun
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
23
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-06-24
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77174
Reported LPN Staffing Hours per Resident per Day
1.29565
Reported RN Staffing Hours per Resident per Day
0.24783
Reported Licensed Staffing Hours per Resident per Day
1.54348
Reported Total Nurse Staffing Hours per Resident per Day
4.31522
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.55833
Expected LPN Staffing Hours per Resident per Day
0.60212
Expected RN Staffing Hours per Resident per Day
0.83742
Expected Total Nurse Staffing Hours per Resident per Day
3.99788
Adjusted CNA Staffing Hours per Resident per Day
2.65838
Adjusted LPN Staffing Hours per Resident per Day
1.78600
Adjusted RN Staffing Hours per Resident per Day
0.22113
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35086
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-28
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-06-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
46.00000
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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