Sentara Meadowview Terrace - Clarksville Nursing Home
General Information
UPDATEFederal Provider Number
495379
Provider Name
SENTARA MEADOWVIEW TERRACE
Provider Address
184 BUFFALO ROAD
CLARKSVILLE, VA 23927
CLARKSVILLE, VA 23927
Provider Phone Number
(434) 374-4141
Provider SSA County
580
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARKSVILLE SENIOR CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-10-01
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
5
QM Rating Footnote
Staffing Rating
3
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
2.11884
Reported LPN Staffing Hours per Resident per Day
1.10616
Reported RN Staffing Hours per Resident per Day
0.47089
Reported Licensed Staffing Hours per Resident per Day
1.57705
Reported Total Nurse Staffing Hours per Resident per Day
3.69589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03459
Expected CNA Staffing Hours per Resident per Day
2.39869
Expected LPN Staffing Hours per Resident per Day
0.57102
Expected RN Staffing Hours per Resident per Day
0.84633
Expected Total Nurse Staffing Hours per Resident per Day
3.81604
Adjusted CNA Staffing Hours per Resident per Day
2.16744
Adjusted LPN Staffing Hours per Resident per Day
1.60783
Adjusted RN Staffing Hours per Resident per Day
0.41573
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90399
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
4
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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