Valley Center - South Charleston Nursing Home
General Information
UPDATEFederal Provider Number
515169
Provider Name
VALLEY CENTER
Provider Address
1000 LINCOLN DRIVE
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
Provider Phone Number
(304) 768-4400
Provider SSA County
190
Provider County Name
Kanawha
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1000 LINCOLN DRIVE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1999-04-09
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
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
2.21992
Reported LPN Staffing Hours per Resident per Day
0.81585
Reported RN Staffing Hours per Resident per Day
0.73740
Reported Licensed Staffing Hours per Resident per Day
1.55325
Reported Total Nurse Staffing Hours per Resident per Day
3.77317
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07439
Expected CNA Staffing Hours per Resident per Day
2.42616
Expected LPN Staffing Hours per Resident per Day
0.72942
Expected RN Staffing Hours per Resident per Day
1.24124
Expected Total Nurse Staffing Hours per Resident per Day
4.39682
Adjusted CNA Staffing Hours per Resident per Day
2.24512
Adjusted LPN Staffing Hours per Resident per Day
0.92834
Adjusted RN Staffing Hours per Resident per Day
0.44390
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45915
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
212
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
106
Cycle 1 Total Health Score
318
Cycle 2 Total Number of Health Deficiencies
42
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
27
Cycle 2 Health Deficiency Score
240
Cycle 2 Standard Health Survey Date
2013-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
240
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
172
Cycle 3 Standard Health Survey Date
2011-04-28
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
86
Cycle 3 Total Health Score
258
Total Weighted Health Survey Score
282.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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