Mountainview Nursing Home - Spartanburg Nursing Home
General Information
UPDATEFederal Provider Number
425027
Provider Name
MOUNTAINVIEW NURSING HOME
Provider Address
340 CEDAR SPRINGS ROAD
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
Provider Phone Number
(864) 582-4175
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY SERVICES FOR THE AGING, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.65754
Reported LPN Staffing Hours per Resident per Day
1.32897
Reported RN Staffing Hours per Resident per Day
0.20397
Reported Licensed Staffing Hours per Resident per Day
1.53294
Reported Total Nurse Staffing Hours per Resident per Day
4.19048
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00794
Expected CNA Staffing Hours per Resident per Day
2.54467
Expected LPN Staffing Hours per Resident per Day
0.64675
Expected RN Staffing Hours per Resident per Day
0.91138
Expected Total Nurse Staffing Hours per Resident per Day
4.10281
Adjusted CNA Staffing Hours per Resident per Day
2.56253
Adjusted LPN Staffing Hours per Resident per Day
1.70552
Adjusted RN Staffing Hours per Resident per Day
0.16723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11704
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-14
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
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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