Sumter Valley Nursing And Rehab Center - Sumter Nursing Home
General Information
UPDATEFederal Provider Number
425310
Provider Name
SUMTER VALLEY NURSING AND REHAB CENTER
Provider Address
1761 PINEWOOD ROAD
SUMTER, SC 29154
SUMTER, SC 29154
Provider Phone Number
(803) 481-8591
Provider SSA County
420
Provider County Name
Sumter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-06-21
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.70889
Reported LPN Staffing Hours per Resident per Day
0.68111
Reported RN Staffing Hours per Resident per Day
0.31500
Reported Licensed Staffing Hours per Resident per Day
0.99611
Reported Total Nurse Staffing Hours per Resident per Day
2.70500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06167
Expected CNA Staffing Hours per Resident per Day
2.33704
Expected LPN Staffing Hours per Resident per Day
0.57706
Expected RN Staffing Hours per Resident per Day
0.93757
Expected Total Nurse Staffing Hours per Resident per Day
3.85166
Adjusted CNA Staffing Hours per Resident per Day
1.79420
Adjusted LPN Staffing Hours per Resident per Day
0.97967
Adjusted RN Staffing Hours per Resident per Day
0.25104
Adjusted Total Nurse Staffing Hours per Resident per Day
2.83088
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
12
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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