Omega Health & Rehab Of Greenville, Llc - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
425060
Provider Name
OMEGA HEALTH & REHAB OF GREENVILLE, LLC
Provider Address
809 LAURENS ROAD
GREENVILLE, SC 29607
GREENVILLE, SC 29607
Provider Phone Number
(864) 232-8196
Provider SSA County
220
Provider County Name
Greenville
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1968-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
0
QM Rating Footnote
Data Not Available
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12667
Reported LPN Staffing Hours per Resident per Day
0.80000
Reported RN Staffing Hours per Resident per Day
0.72867
Reported Licensed Staffing Hours per Resident per Day
1.52867
Reported Total Nurse Staffing Hours per Resident per Day
3.65534
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00733
Expected CNA Staffing Hours per Resident per Day
2.27570
Expected LPN Staffing Hours per Resident per Day
0.56614
Expected RN Staffing Hours per Resident per Day
0.78349
Expected Total Nurse Staffing Hours per Resident per Day
3.62533
Adjusted CNA Staffing Hours per Resident per Day
2.29301
Adjusted LPN Staffing Hours per Resident per Day
1.17285
Adjusted RN Staffing Hours per Resident per Day
0.69492
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06426
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2013-10-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2012-07-11
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
5.33300
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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