Our Lady Of The Valley - Roanoke Nursing Home
General Information
UPDATEFederal Provider Number
495357
Provider Name
OUR LADY OF THE VALLEY
Provider Address
650 NORTH JEFFERSON STREET
ROANOKE, VA 24016
ROANOKE, VA 24016
Provider Phone Number
(540) 345-5111
Provider SSA County
801
Provider County Name
Roanoke City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF THE VALLEY, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-10-01
Continuing Care Retirement Community
Y
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
3
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
2.49348
Reported LPN Staffing Hours per Resident per Day
1.34565
Reported RN Staffing Hours per Resident per Day
0.32029
Reported Licensed Staffing Hours per Resident per Day
1.66594
Reported Total Nurse Staffing Hours per Resident per Day
4.15942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07246
Expected CNA Staffing Hours per Resident per Day
2.45474
Expected LPN Staffing Hours per Resident per Day
0.57688
Expected RN Staffing Hours per Resident per Day
1.06026
Expected Total Nurse Staffing Hours per Resident per Day
4.09188
Adjusted CNA Staffing Hours per Resident per Day
2.49243
Adjusted LPN Staffing Hours per Resident per Day
1.93610
Adjusted RN Staffing Hours per Resident per Day
0.22572
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09744
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-05
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
33.33300
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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