The Laurels Of Willow Creek - Midlothian Nursing Home
General Information
UPDATEFederal Provider Number
495257
Provider Name
THE LAURELS OF WILLOW CREEK
Provider Address
11611 ROBIOUS ROAD
MIDLOTHIAN, VA 23113
MIDLOTHIAN, VA 23113
Provider Phone Number
(804) 379-4771
Provider SSA County
200
Provider County Name
Chesterfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HEALTH CARE INVESTORS OF RICHMOND VIRGINIA, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-09-24
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.16972
Reported LPN Staffing Hours per Resident per Day
0.84541
Reported RN Staffing Hours per Resident per Day
0.68349
Reported Licensed Staffing Hours per Resident per Day
1.52890
Reported Total Nurse Staffing Hours per Resident per Day
3.69862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12339
Expected CNA Staffing Hours per Resident per Day
2.45713
Expected LPN Staffing Hours per Resident per Day
0.73636
Expected RN Staffing Hours per Resident per Day
1.33648
Expected Total Nurse Staffing Hours per Resident per Day
4.52998
Adjusted CNA Staffing Hours per Resident per Day
2.16669
Adjusted LPN Staffing Hours per Resident per Day
0.95292
Adjusted RN Staffing Hours per Resident per Day
0.38213
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29114
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
126
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
75.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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