Ravenswood Village - Ravenswood Nursing Home
General Information
UPDATEFederal Provider Number
515177
Provider Name
RAVENSWOOD VILLAGE
Provider Address
200 RITCHIE AVENUE
RAVENSWOOD, WV 26164
RAVENSWOOD, WV 26164
Provider Phone Number
3042739385
Provider SSA County
170
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
200 SOUTH RITCHIE AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
3
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
2.24818
Reported LPN Staffing Hours per Resident per Day
0.76364
Reported RN Staffing Hours per Resident per Day
0.89727
Reported Licensed Staffing Hours per Resident per Day
1.66091
Reported Total Nurse Staffing Hours per Resident per Day
3.90909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01182
Expected CNA Staffing Hours per Resident per Day
2.50740
Expected LPN Staffing Hours per Resident per Day
0.71574
Expected RN Staffing Hours per Resident per Day
1.21612
Expected Total Nurse Staffing Hours per Resident per Day
4.43925
Adjusted CNA Staffing Hours per Resident per Day
2.20003
Adjusted LPN Staffing Hours per Resident per Day
0.88555
Adjusted RN Staffing Hours per Resident per Day
0.55130
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54951
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
22
Cycle 3 Total Health Score
66
Total Weighted Health Survey Score
37.66700
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
Nursiong Homes Nearby
Eldercare Health And Rehabilitation
107 Miller Drive |
RIPLEY WV 25271 | 9.4 miles away
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