Veterans Victory House - Walterboro Nursing Home

General Information

UPDATE
Federal Provider Number
425386
Provider Name
VETERANS VICTORY HOUSE
Provider Address
2461 SIDNEY ROAD
WALTERBORO, SC 29488
Provider Phone Number
(843) 538-3000
Provider SSA County
140
Provider County Name
Colleton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
220
Number of Residents in Certified Beds
219
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
Date First Approved to Provide Medicare and Medicaid services
2007-10-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.48037
Reported LPN Staffing Hours per Resident per Day
0.82808
Reported RN Staffing Hours per Resident per Day
0.52146
Reported Licensed Staffing Hours per Resident per Day
1.34954
Reported Total Nurse Staffing Hours per Resident per Day
3.82991
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02489
Expected CNA Staffing Hours per Resident per Day
2.23366
Expected LPN Staffing Hours per Resident per Day
0.56311
Expected RN Staffing Hours per Resident per Day
0.78665
Expected Total Nurse Staffing Hours per Resident per Day
3.58342
Adjusted CNA Staffing Hours per Resident per Day
2.72472
Adjusted LPN Staffing Hours per Resident per Day
1.22055
Adjusted RN Staffing Hours per Resident per Day
0.49531
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30818
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.66700
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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