Sunny Acres - Fork Nursing Home
General Information
UPDATEFederal Provider Number
425093
Provider Name
SUNNY ACRES
Provider Address
1727 BUCK SWAMP ROAD
FORK, SC 29543
FORK, SC 29543
Provider Phone Number
(843) 464-6212
Provider SSA County
160
Provider County Name
Dillon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COOKE ASSOCIATES OF FORK INC
Date First Approved to Provide Medicare and Medicaid services
1972-11-01
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
2
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
1.87500
Reported LPN Staffing Hours per Resident per Day
1.04000
Reported RN Staffing Hours per Resident per Day
0.29700
Reported Licensed Staffing Hours per Resident per Day
1.33700
Reported Total Nurse Staffing Hours per Resident per Day
3.21200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.41248
Expected LPN Staffing Hours per Resident per Day
0.59052
Expected RN Staffing Hours per Resident per Day
0.94142
Expected Total Nurse Staffing Hours per Resident per Day
3.94442
Adjusted CNA Staffing Hours per Resident per Day
1.90704
Adjusted LPN Staffing Hours per Resident per Day
1.46177
Adjusted RN Staffing Hours per Resident per Day
0.23573
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28242
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
204
Cycle 1 Standard Survey Health Date
2013-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
204
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
16
Cycle 2 Standard Health Survey Date
2012-05-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
112.00000
Number of Facility Reported Incidents
1
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
Heritage Healthcare Center At The Pines
413 Lakeside Court |
DILLON SC 29536 | 12.7 miles away