Sentara Obici Specialty Rehabilitation Center - Suffolk Nursing Home
General Information
UPDATEFederal Provider Number
495414
Provider Name
SENTARA OBICI SPECIALTY REHABILITATION CENTER
Provider Address
2800 GODWIN BOULEVARD
SUFFOLK, VA 23434
SUFFOLK, VA 23434
Provider Phone Number
(757) 892-5400
Provider SSA County
892
Provider County Name
Suffolk City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
8
Number of Residents in Certified Beds
4
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SENTARA HOSPITALS
Date First Approved to Provide Medicare and Medicaid services
2013-08-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
4.46250
Reported RN Staffing Hours per Resident per Day
3.77500
Reported Licensed Staffing Hours per Resident per Day
8.23750
Reported Total Nurse Staffing Hours per Resident per Day
8.23750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.70000
Expected CNA Staffing Hours per Resident per Day
2.72643
Expected LPN Staffing Hours per Resident per Day
0.83678
Expected RN Staffing Hours per Resident per Day
1.55517
Expected Total Nurse Staffing Hours per Resident per Day
5.11838
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
4.42633
Adjusted RN Staffing Hours per Resident per Day
1.81375
Adjusted Total Nurse Staffing Hours per Resident per Day
6.48731
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
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
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.80000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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