Salem Center - Salem Nursing Home
General Information
UPDATEFederal Provider Number
515071
Provider Name
SALEM CENTER
Provider Address
255 SUNBRIDGE DRIVE
SALEM, WV 26426
SALEM, WV 26426
Provider Phone Number
(304) 782-3000
Provider SSA County
160
Provider County Name
Harrison
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
112
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE SALEM HEALTH CARE CORP.
Date First Approved to Provide Medicare and Medicaid services
1982-06-16
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.06330
Reported LPN Staffing Hours per Resident per Day
0.89734
Reported RN Staffing Hours per Resident per Day
0.49734
Reported Licensed Staffing Hours per Resident per Day
1.39468
Reported Total Nurse Staffing Hours per Resident per Day
3.45798
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02713
Expected CNA Staffing Hours per Resident per Day
2.45965
Expected LPN Staffing Hours per Resident per Day
0.64348
Expected RN Staffing Hours per Resident per Day
1.11694
Expected Total Nurse Staffing Hours per Resident per Day
4.22007
Adjusted CNA Staffing Hours per Resident per Day
2.05831
Adjusted LPN Staffing Hours per Resident per Day
1.15744
Adjusted RN Staffing Hours per Resident per Day
0.33271
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30297
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
204
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
102
Cycle 1 Total Health Score
306
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
136
Cycle 3 Total Number of Health Deficiencies
31
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2011-08-31
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
88
Cycle 3 Total Health Score
264
Total Weighted Health Survey Score
242.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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