Southampton Memorial Hosp - Franklin Nursing Home
General Information
UPDATEFederal Provider Number
495157
Provider Name
SOUTHAMPTON MEMORIAL HOSP
Provider Address
100 FAIRVIEW DR
FRANKLIN, VA 23851
FRANKLIN, VA 23851
Provider Phone Number
7575696287
Provider SSA County
328
Provider County Name
Franklin City
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FRANKLIN HOSPITAL CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1985-12-02
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
1.87545
Reported LPN Staffing Hours per Resident per Day
1.25500
Reported RN Staffing Hours per Resident per Day
0.55864
Reported Licensed Staffing Hours per Resident per Day
1.81364
Reported Total Nurse Staffing Hours per Resident per Day
3.68909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01182
Expected CNA Staffing Hours per Resident per Day
2.33132
Expected LPN Staffing Hours per Resident per Day
0.54799
Expected RN Staffing Hours per Resident per Day
0.77085
Expected Total Nurse Staffing Hours per Resident per Day
3.65016
Adjusted CNA Staffing Hours per Resident per Day
1.97390
Adjusted LPN Staffing Hours per Resident per Day
1.90086
Adjusted RN Staffing Hours per Resident per Day
0.54150
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07389
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2014-03-07
Cycle 2 Number of Health Revisits
1
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
2013-02-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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