Pruitthealth Bamberg - Bamberg Nursing Home
General Information
UPDATEFederal Provider Number
425104
Provider Name
PRUITTHEALTH BAMBERG
Provider Address
439 NORTH STREET
BAMBERG, SC 29003
BAMBERG, SC 29003
Provider Phone Number
(803) 245-7525
Provider SSA County
40
Provider County Name
Bamberg
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
88
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH-BAMBERG LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.48824
Reported LPN Staffing Hours per Resident per Day
0.89412
Reported RN Staffing Hours per Resident per Day
0.84706
Reported Licensed Staffing Hours per Resident per Day
1.74118
Reported Total Nurse Staffing Hours per Resident per Day
4.22942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03162
Expected CNA Staffing Hours per Resident per Day
2.50883
Expected LPN Staffing Hours per Resident per Day
0.61830
Expected RN Staffing Hours per Resident per Day
0.97817
Expected Total Nurse Staffing Hours per Resident per Day
4.10530
Adjusted CNA Staffing Hours per Resident per Day
2.43357
Adjusted LPN Staffing Hours per Resident per Day
1.20026
Adjusted RN Staffing Hours per Resident per Day
0.64705
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15278
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
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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