Our Lady Of Peace Inc - Charlottesville Nursing Home
General Information
UPDATEFederal Provider Number
49A007
Provider Name
OUR LADY OF PEACE INC
Provider Address
751 HILLSDALE DRIVE
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
Provider Phone Number
4349731155
Provider SSA County
10
Provider County Name
Albemarle
Ownership Type
Non profit - Church related
Number of Certified Beds
30
Number of Residents in Certified Beds
29
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
1992-11-24
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.16379
Reported LPN Staffing Hours per Resident per Day
1.14138
Reported RN Staffing Hours per Resident per Day
0.77586
Reported Licensed Staffing Hours per Resident per Day
1.91724
Reported Total Nurse Staffing Hours per Resident per Day
5.08103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07414
Expected CNA Staffing Hours per Resident per Day
2.58034
Expected LPN Staffing Hours per Resident per Day
0.58080
Expected RN Staffing Hours per Resident per Day
0.80466
Expected Total Nurse Staffing Hours per Resident per Day
3.96580
Adjusted CNA Staffing Hours per Resident per Day
3.00851
Adjusted LPN Staffing Hours per Resident per Day
1.63109
Adjusted RN Staffing Hours per Resident per Day
0.72046
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16443
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
44
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
The Laurels Of Charlottesville
1165 Pepsi Place |
CHARLOTTESVILLE VA 22901 | 0.6 mile away
Charlottesville Health & Rehabilitation Center
505 West Rio Road |
CHARLOTTESVILLE VA 22901 | 0.9 mile away
Trinity Mission Health/rehab Of Charlottesville
1150 Northwest Drive |
CHARLOTTESVILLE VA 22901 | 1.2 miles away
Golden Livingcenter -charlottesville
1242 Cedars Ct |
CHARLOTTESVILLE VA 22903 | 1.8 miles away
Colonnades Health Care Center
100 Colonnades Hill Drive |
CHARLOTTESVILLE VA 22901 | 2.4 miles away
Westminster Canterbury Blue Ri
250 Pantops Mountain Rd |
CHARLOTTESVILLE VA 22911 | 3.6 miles away
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