Summit Hills Skilled Nursing Facility - Spartanburg Nursing Home

General Information

UPDATE
Federal Provider Number
425390
Provider Name
SUMMIT HILLS SKILLED NURSING FACILITY
Provider Address
110 SUMMIT HILLS DRIVE
SPARTANBURG, SC 29307
Provider Phone Number
(864) 591-2222
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
27
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SUMMIT HILLS, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-12-05
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19819
Expected LPN Staffing Hours per Resident per Day
0.65323
Expected RN Staffing Hours per Resident per Day
1.47134
Expected Total Nurse Staffing Hours per Resident per Day
4.32275
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
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
8
Cycle 2 Standard Health Survey Date
2013-09-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
1069
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
535
Cycle 3 Total Health Score
1604
Total Weighted Health Survey Score
270.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
241085
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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