South Roanoke Nursing Home Inc - Roanoke Nursing Home
General Information
UPDATEFederal Provider Number
495002
Provider Name
SOUTH ROANOKE NURSING HOME INC
Provider Address
3823 FRANKLIN RD, SW
ROANOKE, VA 24014
ROANOKE, VA 24014
Provider Phone Number
(540) 344-4325
Provider SSA County
801
Provider County Name
Roanoke City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH ROANOKE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.53500
Reported LPN Staffing Hours per Resident per Day
0.37875
Reported RN Staffing Hours per Resident per Day
0.83313
Reported Licensed Staffing Hours per Resident per Day
1.21188
Reported Total Nurse Staffing Hours per Resident per Day
3.74688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03938
Expected CNA Staffing Hours per Resident per Day
2.44013
Expected LPN Staffing Hours per Resident per Day
0.56793
Expected RN Staffing Hours per Resident per Day
0.85630
Expected Total Nurse Staffing Hours per Resident per Day
3.86435
Adjusted CNA Staffing Hours per Resident per Day
2.54910
Adjusted LPN Staffing Hours per Resident per Day
0.55352
Adjusted RN Staffing Hours per Resident per Day
0.72698
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90836
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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