St. Joseph's Hospital, D/p - Buckhannon Nursing Home
General Information
UPDATEFederal Provider Number
515051
Provider Name
ST. JOSEPH'S HOSPITAL, D/P
Provider Address
AMALIA DRIVE #1
BUCKHANNON, WV 26201
BUCKHANNON, WV 26201
Provider Phone Number
(304) 473-2000
Provider SSA County
480
Provider County Name
Upshur
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
16
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ST JOSEPHS HOSPITAL OF BUCKHANNON INC
Date First Approved to Provide Medicare and Medicaid services
1974-10-08
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
3.81333
Reported LPN Staffing Hours per Resident per Day
1.34333
Reported RN Staffing Hours per Resident per Day
1.43333
Reported Licensed Staffing Hours per Resident per Day
2.77667
Reported Total Nurse Staffing Hours per Resident per Day
6.58999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20000
Expected CNA Staffing Hours per Resident per Day
2.54302
Expected LPN Staffing Hours per Resident per Day
0.55698
Expected RN Staffing Hours per Resident per Day
0.82328
Expected Total Nurse Staffing Hours per Resident per Day
3.92328
Adjusted CNA Staffing Hours per Resident per Day
3.67938
Adjusted LPN Staffing Hours per Resident per Day
2.00181
Adjusted RN Staffing Hours per Resident per Day
1.30087
Adjusted Total Nurse Staffing Hours per Resident per Day
6.77075
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-06
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
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
48
Total Weighted Health Survey Score
52.66700
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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Nursiong Homes Nearby
Holbrook Nursing Home
183 Holbrook Road |
BUCKHANNON WV 26201 | 1.6 miles away