Montgomery Gen. Elderly Care - Montgomery Nursing Home
General Information
UPDATEFederal Provider Number
515152
Provider Name
MONTGOMERY GEN. ELDERLY CARE
Provider Address
501 ADAMS STREET
MONTGOMERY, WV 25136
MONTGOMERY, WV 25136
Provider Phone Number
(304) 442-2469
Provider SSA County
90
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-03-17
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.74909
Reported LPN Staffing Hours per Resident per Day
0.82727
Reported RN Staffing Hours per Resident per Day
0.28636
Reported Licensed Staffing Hours per Resident per Day
1.11364
Reported Total Nurse Staffing Hours per Resident per Day
2.86272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09091
Expected CNA Staffing Hours per Resident per Day
2.36147
Expected LPN Staffing Hours per Resident per Day
0.57547
Expected RN Staffing Hours per Resident per Day
0.97192
Expected Total Nurse Staffing Hours per Resident per Day
3.90885
Adjusted CNA Staffing Hours per Resident per Day
1.81740
Adjusted LPN Staffing Hours per Resident per Day
1.19318
Adjusted RN Staffing Hours per Resident per Day
0.22015
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95210
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
32.00000
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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Nursiong Homes Nearby
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