Mount Pleasant Manor - Mt Pleasant Nursing Home
General Information
UPDATEFederal Provider Number
425110
Provider Name
MOUNT PLEASANT MANOR
Provider Address
921 BOWMAN ROAD
MT PLEASANT, SC 29464
MT PLEASANT, SC 29464
Provider Phone Number
(843) 884-8903
Provider SSA County
90
Provider County Name
Charleston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT PLEASANT MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.86163
Reported LPN Staffing Hours per Resident per Day
0.64147
Reported RN Staffing Hours per Resident per Day
0.45930
Reported Licensed Staffing Hours per Resident per Day
1.10078
Reported Total Nurse Staffing Hours per Resident per Day
2.96240
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04419
Expected CNA Staffing Hours per Resident per Day
2.39050
Expected LPN Staffing Hours per Resident per Day
0.57036
Expected RN Staffing Hours per Resident per Day
0.85563
Expected Total Nurse Staffing Hours per Resident per Day
3.81649
Adjusted CNA Staffing Hours per Resident per Day
1.91085
Adjusted LPN Staffing Hours per Resident per Day
0.93349
Adjusted RN Staffing Hours per Resident per Day
0.40110
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12883
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
386
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
386
Total Weighted Health Survey Score
105.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
112613
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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