Sundale Nursing Home - Morgantown Nursing Home
General Information
UPDATEFederal Provider Number
515083
Provider Name
SUNDALE NURSING HOME
Provider Address
800 J D ANDERSON DRIVE
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
Provider Phone Number
(304) 599-0497
Provider SSA County
300
Provider County Name
Monongalia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONONGALIA HOME CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1988-06-15
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.40632
Reported LPN Staffing Hours per Resident per Day
1.24828
Reported RN Staffing Hours per Resident per Day
0.50402
Reported Licensed Staffing Hours per Resident per Day
1.75230
Reported Total Nurse Staffing Hours per Resident per Day
4.15862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01724
Expected CNA Staffing Hours per Resident per Day
2.35867
Expected LPN Staffing Hours per Resident per Day
0.61432
Expected RN Staffing Hours per Resident per Day
0.88344
Expected Total Nurse Staffing Hours per Resident per Day
3.85644
Adjusted CNA Staffing Hours per Resident per Day
2.50327
Adjusted LPN Staffing Hours per Resident per Day
1.68653
Adjusted RN Staffing Hours per Resident per Day
0.42629
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34676
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
44
Cycle 1 Standard Survey Health Date
2014-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
128
Cycle 2 Standard Health Survey Date
2012-06-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2010-01-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
74.66700
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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