Pheasant Ridge Nursing & Rehab Center - Roanoke Nursing Home
General Information
UPDATEFederal Provider Number
495325
Provider Name
PHEASANT RIDGE NURSING & REHAB CENTER
Provider Address
4355 PHEASANT RIDGE ROAD, SW
ROANOKE, VA 24014
ROANOKE, VA 24014
Provider Phone Number
(540) 725-8210
Provider SSA County
801
Provider County Name
Roanoke City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHEASANT RIDGE FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01383
Reported LPN Staffing Hours per Resident per Day
0.78723
Reported RN Staffing Hours per Resident per Day
0.63670
Reported Licensed Staffing Hours per Resident per Day
1.42394
Reported Total Nurse Staffing Hours per Resident per Day
3.43776
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.49765
Expected LPN Staffing Hours per Resident per Day
0.68856
Expected RN Staffing Hours per Resident per Day
1.24703
Expected Total Nurse Staffing Hours per Resident per Day
4.43324
Adjusted CNA Staffing Hours per Resident per Day
1.97840
Adjusted LPN Staffing Hours per Resident per Day
0.94894
Adjusted RN Staffing Hours per Resident per Day
0.38150
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12577
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-13
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
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
2014-01-08
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
29.33300
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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