The Glebe - Daleville Nursing Home

General Information

UPDATE
Federal Provider Number
495404
Provider Name
THE GLEBE
Provider Address
250 GLEBE ROAD
DALEVILLE, VA 24083
Provider Phone Number
(540) 591-2176
Provider SSA County
110
Provider County Name
Botetourt
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
30
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE GLEBE, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-06-02
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
5
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
3.11333
Reported LPN Staffing Hours per Resident per Day
0.95500
Reported RN Staffing Hours per Resident per Day
1.15333
Reported Licensed Staffing Hours per Resident per Day
2.10833
Reported Total Nurse Staffing Hours per Resident per Day
5.22166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13500
Expected CNA Staffing Hours per Resident per Day
2.50960
Expected LPN Staffing Hours per Resident per Day
0.54685
Expected RN Staffing Hours per Resident per Day
0.88829
Expected Total Nurse Staffing Hours per Resident per Day
3.94474
Adjusted CNA Staffing Hours per Resident per Day
3.04399
Adjusted LPN Staffing Hours per Resident per Day
1.44949
Adjusted RN Staffing Hours per Resident per Day
0.97014
Adjusted Total Nurse Staffing Hours per Resident per Day
5.33572
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
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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