Shenandoah Center - Charles Town Nursing Home
General Information
UPDATEFederal Provider Number
515167
Provider Name
SHENANDOAH CENTER
Provider Address
50 MULBERRY TREE STREET
CHARLES TOWN, WV 25414
CHARLES TOWN, WV 25414
Provider Phone Number
(304) 724-1101
Provider SSA County
180
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
50 MULBERRY TREE STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1998-04-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06370
Reported LPN Staffing Hours per Resident per Day
0.48493
Reported RN Staffing Hours per Resident per Day
0.93630
Reported Licensed Staffing Hours per Resident per Day
1.42123
Reported Total Nurse Staffing Hours per Resident per Day
3.48493
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11575
Expected CNA Staffing Hours per Resident per Day
2.59392
Expected LPN Staffing Hours per Resident per Day
0.75064
Expected RN Staffing Hours per Resident per Day
1.26707
Expected Total Nurse Staffing Hours per Resident per Day
4.61163
Adjusted CNA Staffing Hours per Resident per Day
1.95214
Adjusted LPN Staffing Hours per Resident per Day
0.53620
Adjusted RN Staffing Hours per Resident per Day
0.55214
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04608
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2013-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2012-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2009-08-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
96.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
7150
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
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