Presbyterian Home Of Sc - Columbia - Lexington Nursing Home
General Information
UPDATEFederal Provider Number
425396
Provider Name
PRESBYTERIAN HOME OF SC - COLUMBIA
Provider Address
700 DAVEGA DRIVE
LEXINGTON, SC 29073
LEXINGTON, SC 29073
Provider Phone Number
(803) 796-8700
Provider SSA County
310
Provider County Name
Lexington
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
22
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME OF SOUTH CAROLINA.
Date First Approved to Provide Medicare and Medicaid services
2010-03-26
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
7.16000
Reported LPN Staffing Hours per Resident per Day
2.04000
Reported RN Staffing Hours per Resident per Day
2.27333
Reported Licensed Staffing Hours per Resident per Day
4.31333
Reported Total Nurse Staffing Hours per Resident per Day
11.47333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38000
Expected CNA Staffing Hours per Resident per Day
2.49639
Expected LPN Staffing Hours per Resident per Day
0.65069
Expected RN Staffing Hours per Resident per Day
1.24350
Expected Total Nurse Staffing Hours per Resident per Day
4.39059
Adjusted CNA Staffing Hours per Resident per Day
7.03755
Adjusted LPN Staffing Hours per Resident per Day
2.60214
Adjusted RN Staffing Hours per Resident per Day
1.36601
Adjusted Total Nurse Staffing Hours per Resident per Day
10.53340
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
20
Cycle 3 Standard Health Survey Date
2012-08-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
70.66700
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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