War Memorial Hosp, D/p - Berkeley Springs Nursing Home
General Information
UPDATEFederal Provider Number
510000000000000000000000000000
Provider Name
WAR MEMORIAL HOSP, D/P
Provider Address
1 HEALTHY WAY
BERKELEY SPRINGS, WV 25411
BERKELEY SPRINGS, WV 25411
Provider Phone Number
(304) 258-6502
Provider SSA County
320
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
16
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-01-15
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.64375
Reported LPN Staffing Hours per Resident per Day
1.22188
Reported RN Staffing Hours per Resident per Day
1.33750
Reported Licensed Staffing Hours per Resident per Day
2.55938
Reported Total Nurse Staffing Hours per Resident per Day
5.20313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.54856
Expected LPN Staffing Hours per Resident per Day
0.62367
Expected RN Staffing Hours per Resident per Day
0.78267
Expected Total Nurse Staffing Hours per Resident per Day
3.95489
Adjusted CNA Staffing Hours per Resident per Day
2.54535
Adjusted LPN Staffing Hours per Resident per Day
1.62613
Adjusted RN Staffing Hours per Resident per Day
1.27689
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30313
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
2015-02-04
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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Nursiong Homes Nearby
Berkeley Springs Rehabilitation And Nursing
456 Autumn Acres Road |
BERKELEY SPRINGS WV 25411 | 4.8 miles away