Our Lady Of Perpetual Help - Virginia Beach Nursing Home
General Information
UPDATEFederal Provider Number
490000000000000000000000000000
Provider Name
OUR LADY OF PERPETUAL HELP
Provider Address
4560 PRINCESS ANNE ROAD
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
Provider Phone Number
(757) 495-4211
Provider SSA County
921
Provider County Name
Virginia Beach City
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
30
Number of Residents in Certified Beds
30
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
1989-08-29
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
2
QM Rating Footnote
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
2.58000
Reported LPN Staffing Hours per Resident per Day
0.86500
Reported RN Staffing Hours per Resident per Day
0.59500
Reported Licensed Staffing Hours per Resident per Day
1.46000
Reported Total Nurse Staffing Hours per Resident per Day
4.04000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10167
Expected CNA Staffing Hours per Resident per Day
2.84152
Expected LPN Staffing Hours per Resident per Day
0.62096
Expected RN Staffing Hours per Resident per Day
0.83568
Expected Total Nurse Staffing Hours per Resident per Day
4.29816
Adjusted CNA Staffing Hours per Resident per Day
2.22787
Adjusted LPN Staffing Hours per Resident per Day
1.15619
Adjusted RN Staffing Hours per Resident per Day
0.53200
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78879
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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