The Arboretum At The Woodlands - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
425394
Provider Name
THE ARBORETUM AT THE WOODLANDS
Provider Address
50 ARBORTEUM WAY
GREENVILLE, SC 29617
GREENVILLE, SC 29617
Provider Phone Number
8643713100
Provider SSA County
220
Provider County Name
Greenville
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
24
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
UPSTATE SENIOR LIVING, INC.
Date First Approved to Provide Medicare and Medicaid services
2009-11-25
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.18958
Reported LPN Staffing Hours per Resident per Day
1.09583
Reported RN Staffing Hours per Resident per Day
1.33542
Reported Licensed Staffing Hours per Resident per Day
2.43125
Reported Total Nurse Staffing Hours per Resident per Day
5.62083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.47667
Expected LPN Staffing Hours per Resident per Day
0.67045
Expected RN Staffing Hours per Resident per Day
1.18432
Expected Total Nurse Staffing Hours per Resident per Day
4.33144
Adjusted CNA Staffing Hours per Resident per Day
3.16000
Adjusted LPN Staffing Hours per Resident per Day
1.35660
Adjusted RN Staffing Hours per Resident per Day
0.84253
Adjusted Total Nurse Staffing Hours per Resident per Day
5.23082
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
68
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
45728
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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