Presbyterian Home Of Sc - Clinton - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
425393
Provider Name
PRESBYTERIAN HOME OF SC - CLINTON
Provider Address
801 MUSGROVE STREET
CLINTON, SC 29325
CLINTON, SC 29325
Provider Phone Number
(864) 833-5190
Provider SSA County
290
Provider County Name
Laurens
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
18
Number of Residents in Certified Beds
6
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME OF SOUTH CAROLINA.
Date First Approved to Provide Medicare and Medicaid services
2009-09-09
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
4.00000
Reported LPN Staffing Hours per Resident per Day
4.00000
Reported RN Staffing Hours per Resident per Day
3.20833
Reported Licensed Staffing Hours per Resident per Day
7.20833
Reported Total Nurse Staffing Hours per Resident per Day
11.20833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34167
Expected CNA Staffing Hours per Resident per Day
2.61027
Expected LPN Staffing Hours per Resident per Day
0.73809
Expected RN Staffing Hours per Resident per Day
1.55538
Expected Total Nurse Staffing Hours per Resident per Day
4.90373
Adjusted CNA Staffing Hours per Resident per Day
3.76008
Adjusted LPN Staffing Hours per Resident per Day
4.49809
Adjusted RN Staffing Hours per Resident per Day
1.54128
Adjusted Total Nurse Staffing Hours per Resident per Day
9.21332
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-05-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
44
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
38.66700
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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