Summersville Regional Medical Center D/p - Summersville Nursing Home
General Information
UPDATEFederal Provider Number
515029
Provider Name
SUMMERSVILLE REGIONAL MEDICAL CENTER D/P
Provider Address
400 FAIRVIEW HEIGHTS ROAD
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
Provider Phone Number
3048722891
Provider SSA County
330
Provider County Name
Nicholas
Ownership Type
Government - City/county
Number of Certified Beds
52
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1968-03-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75200
Reported LPN Staffing Hours per Resident per Day
1.57400
Reported RN Staffing Hours per Resident per Day
0.39500
Reported Licensed Staffing Hours per Resident per Day
1.96900
Reported Total Nurse Staffing Hours per Resident per Day
4.72100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01100
Expected CNA Staffing Hours per Resident per Day
2.44887
Expected LPN Staffing Hours per Resident per Day
0.71246
Expected RN Staffing Hours per Resident per Day
0.95844
Expected Total Nurse Staffing Hours per Resident per Day
4.11978
Adjusted CNA Staffing Hours per Resident per Day
2.75742
Adjusted LPN Staffing Hours per Resident per Day
1.83366
Adjusted RN Staffing Hours per Resident per Day
0.30794
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61915
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
213
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
107
Cycle 1 Total Health Score
320
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-04-18
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
301
Cycle 3 Standard Health Survey Date
2011-10-04
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
151
Cycle 3 Total Health Score
452
Total Weighted Health Survey Score
264.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5428
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Nicholas County Nursing And Rehabilitation Center
18 Fourth Street |
RICHWOOD WV 26261 | 16.1 miles away
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