Richard M Campbell Veterans Nursing Home - Anderson Nursing Home

General Information

UPDATE
Federal Provider Number
425301
Provider Name
RICHARD M CAMPBELL VETERANS NURSING HOME
Provider Address
4605 BELTON HIGHWAY
ANDERSON, SC 29621
Provider Phone Number
8642616734
Provider SSA County
30
Provider County Name
Anderson
Ownership Type
Government - State
Number of Certified Beds
220
Number of Residents in Certified Beds
220
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
Date First Approved to Provide Medicare and Medicaid services
1991-03-13
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
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
2.07727
Reported LPN Staffing Hours per Resident per Day
0.79136
Reported RN Staffing Hours per Resident per Day
0.38523
Reported Licensed Staffing Hours per Resident per Day
1.17659
Reported Total Nurse Staffing Hours per Resident per Day
3.25386
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00295
Expected CNA Staffing Hours per Resident per Day
2.36228
Expected LPN Staffing Hours per Resident per Day
0.56953
Expected RN Staffing Hours per Resident per Day
0.82170
Expected Total Nurse Staffing Hours per Resident per Day
3.75350
Adjusted CNA Staffing Hours per Resident per Day
2.15766
Adjusted LPN Staffing Hours per Resident per Day
1.15329
Adjusted RN Staffing Hours per Resident per Day
0.35030
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49433
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
32
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-25
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
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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