Pruitthealth Estill - Estill Nursing Home
General Information
UPDATEFederal Provider Number
425315
Provider Name
PRUITTHEALTH ESTILL
Provider Address
252 LIBERTY STREET SOUTH
ESTILL, SC 29918
ESTILL, SC 29918
Provider Phone Number
(803) 625-3852
Provider SSA County
240
Provider County Name
Hampton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH ESTILL LLC
Date First Approved to Provide Medicare and Medicaid services
1991-09-27
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21139
Reported LPN Staffing Hours per Resident per Day
0.97089
Reported RN Staffing Hours per Resident per Day
0.45570
Reported Licensed Staffing Hours per Resident per Day
1.42658
Reported Total Nurse Staffing Hours per Resident per Day
3.63798
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02342
Expected CNA Staffing Hours per Resident per Day
2.66400
Expected LPN Staffing Hours per Resident per Day
0.61254
Expected RN Staffing Hours per Resident per Day
0.93528
Expected Total Nurse Staffing Hours per Resident per Day
4.21182
Adjusted CNA Staffing Hours per Resident per Day
2.03682
Adjusted LPN Staffing Hours per Resident per Day
1.31557
Adjusted RN Staffing Hours per Resident per Day
0.36406
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48171
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
16
Cycle 1 Standard Survey Health Date
2015-01-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2013-06-20
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
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
1
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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