Nella's Nursing Home, Inc. - Elkins Nursing Home
General Information
UPDATEFederal Provider Number
510000000000000000000000000000
Provider Name
NELLA'S NURSING HOME, INC.
Provider Address
200 WHITMAN AVENUE, CRYSTAL SPRINGS
ELKINS, WV 26241
ELKINS, WV 26241
Provider Phone Number
(304) 636-2033
Provider SSA County
410
Provider County Name
Randolph
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
68
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
QM Rating Footnote
Staffing Rating
2
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
1.99706
Reported LPN Staffing Hours per Resident per Day
0.83750
Reported RN Staffing Hours per Resident per Day
0.43971
Reported Licensed Staffing Hours per Resident per Day
1.27721
Reported Total Nurse Staffing Hours per Resident per Day
3.27427
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03235
Expected CNA Staffing Hours per Resident per Day
2.28962
Expected LPN Staffing Hours per Resident per Day
0.57783
Expected RN Staffing Hours per Resident per Day
0.87268
Expected Total Nurse Staffing Hours per Resident per Day
3.74013
Adjusted CNA Staffing Hours per Resident per Day
2.14018
Adjusted LPN Staffing Hours per Resident per Day
1.20299
Adjusted RN Staffing Hours per Resident per Day
0.37648
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52882
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
37.33300
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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