Spartanburg Hospital For Restorative Care Snf - Spartanburg Nursing Home
General Information
UPDATEFederal Provider Number
425384
Provider Name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE SNF
Provider Address
389 SERPENTINE DRIVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Provider Phone Number
(864) 560-3265
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
25
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
Date First Approved to Provide Medicare and Medicaid services
2006-03-07
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
3
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
2.35938
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
3.38125
Reported Licensed Staffing Hours per Resident per Day
4.13125
Reported Total Nurse Staffing Hours per Resident per Day
6.49063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.59688
Expected CNA Staffing Hours per Resident per Day
2.44574
Expected LPN Staffing Hours per Resident per Day
0.95177
Expected RN Staffing Hours per Resident per Day
2.11403
Expected Total Nurse Staffing Hours per Resident per Day
5.51154
Adjusted CNA Staffing Hours per Resident per Day
2.36706
Adjusted LPN Staffing Hours per Resident per Day
0.65404
Adjusted RN Staffing Hours per Resident per Day
1.19509
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74696
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
50
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
50
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
2012-06-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3738
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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