Stone Pear Pavilion - Chester Nursing Home
General Information
UPDATEFederal Provider Number
515130
Provider Name
STONE PEAR PAVILION
Provider Address
125 FOX LANE
CHESTER, WV 26034
CHESTER, WV 26034
Provider Phone Number
(304) 387-0101
Provider SSA County
140
Provider County Name
Hancock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOX NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1994-06-08
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38304
Reported LPN Staffing Hours per Resident per Day
0.69911
Reported RN Staffing Hours per Resident per Day
0.68929
Reported Licensed Staffing Hours per Resident per Day
1.38839
Reported Total Nurse Staffing Hours per Resident per Day
3.77144
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.67167
Expected LPN Staffing Hours per Resident per Day
0.68045
Expected RN Staffing Hours per Resident per Day
1.11271
Expected Total Nurse Staffing Hours per Resident per Day
4.46483
Adjusted CNA Staffing Hours per Resident per Day
2.18862
Adjusted LPN Staffing Hours per Resident per Day
0.85276
Adjusted RN Staffing Hours per Resident per Day
0.46287
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40490
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
66.00000
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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