Summit Square - Waynesboro Nursing Home
General Information
UPDATEFederal Provider Number
495405
Provider Name
SUMMIT SQUARE
Provider Address
501 OAK AVENUE
WAYNESBORO, VA 22980
WAYNESBORO, VA 22980
Provider Phone Number
(540) 941-3100
Provider SSA County
951
Provider County Name
Waynesboro City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
18
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNNYSIDE PRESBYTERIAN HOME
Date First Approved to Provide Medicare and Medicaid services
2010-08-02
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.08611
Reported LPN Staffing Hours per Resident per Day
0.67500
Reported RN Staffing Hours per Resident per Day
1.52222
Reported Licensed Staffing Hours per Resident per Day
2.19722
Reported Total Nurse Staffing Hours per Resident per Day
4.28333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02778
Expected CNA Staffing Hours per Resident per Day
2.18790
Expected LPN Staffing Hours per Resident per Day
0.55111
Expected RN Staffing Hours per Resident per Day
0.91167
Expected Total Nurse Staffing Hours per Resident per Day
3.65068
Adjusted CNA Staffing Hours per Resident per Day
2.33954
Adjusted LPN Staffing Hours per Resident per Day
1.01658
Adjusted RN Staffing Hours per Resident per Day
1.24761
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72944
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
24
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.66700
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
Avante At Waynesboro
1221 Rosser Ave |
WAYNESBORO VA 22980 | 1.4 miles away