Riverside Convalescent Center-smithfield - Smithfield Nursing Home
General Information
UPDATEFederal Provider Number
495332
Provider Name
RIVERSIDE CONVALESCENT CENTER-SMITHFIELD
Provider Address
200 LUMAR RD
SMITHFIELD, VA 23430
SMITHFIELD, VA 23430
Provider Phone Number
(757) 357-3282
Provider SSA County
460
Provider County Name
Isle Of Wight
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PATRICK HENRY HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1998-09-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.87600
Reported LPN Staffing Hours per Resident per Day
1.16300
Reported RN Staffing Hours per Resident per Day
0.59800
Reported Licensed Staffing Hours per Resident per Day
1.76100
Reported Total Nurse Staffing Hours per Resident per Day
4.63700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11800
Expected CNA Staffing Hours per Resident per Day
2.52402
Expected LPN Staffing Hours per Resident per Day
0.64290
Expected RN Staffing Hours per Resident per Day
0.93058
Expected Total Nurse Staffing Hours per Resident per Day
4.09751
Adjusted CNA Staffing Hours per Resident per Day
2.79587
Adjusted LPN Staffing Hours per Resident per Day
1.50146
Adjusted RN Staffing Hours per Resident per Day
0.48016
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56162
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
44
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
36.00000
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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