Roane General Hospital, D/p - Spencer Nursing Home

General Information

UPDATE
Federal Provider Number
515099
Provider Name
ROANE GENERAL HOSPITAL, D/P
Provider Address
200 HOSPITAL DRIVE
SPENCER, WV 25276
Provider Phone Number
(304) 927-4444
Provider SSA County
430
Provider County Name
Roane
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL DEVELOPMENT CO.
Date First Approved to Provide Medicare and Medicaid services
1989-02-09
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
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
4.22206
Reported RN Staffing Hours per Resident per Day
3.63235
Reported Licensed Staffing Hours per Resident per Day
7.85441
Reported Total Nurse Staffing Hours per Resident per Day
7.85441
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16765
Expected CNA Staffing Hours per Resident per Day
2.37217
Expected LPN Staffing Hours per Resident per Day
0.57393
Expected RN Staffing Hours per Resident per Day
0.84591
Expected Total Nurse Staffing Hours per Resident per Day
3.79200
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
6.10583
Adjusted RN Staffing Hours per Resident per Day
3.20851
Adjusted Total Nurse Staffing Hours per Resident per Day
8.34924
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
288
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
288
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
173.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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