Pruitthealth-blythewood - Columbia Nursing Home

General Information

UPDATE
Federal Provider Number
425400
Provider Name
PRUITTHEALTH-BLYTHEWOOD
Provider Address
1075 HEATHER GREEN DRIVE
COLUMBIA, SC 29229
Provider Phone Number
(803) 419-9863
Provider SSA County
390
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAKS OF BLYTHEWOOD, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-11-03
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.34509
Reported LPN Staffing Hours per Resident per Day
0.79018
Reported RN Staffing Hours per Resident per Day
0.69955
Reported Licensed Staffing Hours per Resident per Day
1.48973
Reported Total Nurse Staffing Hours per Resident per Day
3.83482
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13438
Expected CNA Staffing Hours per Resident per Day
2.46820
Expected LPN Staffing Hours per Resident per Day
0.62308
Expected RN Staffing Hours per Resident per Day
1.11581
Expected Total Nurse Staffing Hours per Resident per Day
4.20709
Adjusted CNA Staffing Hours per Resident per Day
2.33131
Adjusted LPN Staffing Hours per Resident per Day
1.05260
Adjusted RN Staffing Hours per Resident per Day
0.46845
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67422
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
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
2013-09-05
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
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
717
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
717
Total Weighted Health Survey Score
177.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
200135
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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