Sentara Nursing Center Portsmouth - Portsmouth Nursing Home
General Information
UPDATEFederal Provider Number
495201
Provider Name
SENTARA NURSING CENTER PORTSMOUTH
Provider Address
4201 GREENWOOD DRIVE
PORTSMOUTH, VA 23701
PORTSMOUTH, VA 23701
Provider Phone Number
(757) 673-5000
Provider SSA County
711
Provider County Name
Portsmouth City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENTARA LIFE CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1989-09-20
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
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
2.30637
Reported LPN Staffing Hours per Resident per Day
1.01275
Reported RN Staffing Hours per Resident per Day
0.61618
Reported Licensed Staffing Hours per Resident per Day
1.62892
Reported Total Nurse Staffing Hours per Resident per Day
3.93530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.63278
Expected LPN Staffing Hours per Resident per Day
0.68895
Expected RN Staffing Hours per Resident per Day
0.97280
Expected Total Nurse Staffing Hours per Resident per Day
4.29453
Adjusted CNA Staffing Hours per Resident per Day
2.14949
Adjusted LPN Staffing Hours per Resident per Day
1.22009
Adjusted RN Staffing Hours per Resident per Day
0.47329
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69372
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
74
Cycle 1 Total Health Score
222
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
133.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
122850
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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