Washington Rehabilitation And Nursing Center - Chipley Nursing Home
General Information
UPDATEFederal Provider Number
105727
Provider Name
WASHINGTON REHABILITATION AND NURSING CENTER
Provider Address
879 USERY ROAD
CHIPLEY, FL 32428
CHIPLEY, FL 32428
Provider Phone Number
(850) 638-4654
Provider SSA County
660
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP CHIPLEY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73438
Reported LPN Staffing Hours per Resident per Day
1.11281
Reported RN Staffing Hours per Resident per Day
0.43188
Reported Licensed Staffing Hours per Resident per Day
1.54469
Reported Total Nurse Staffing Hours per Resident per Day
4.27907
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06875
Expected CNA Staffing Hours per Resident per Day
2.37973
Expected LPN Staffing Hours per Resident per Day
0.62163
Expected RN Staffing Hours per Resident per Day
0.99026
Expected Total Nurse Staffing Hours per Resident per Day
3.99162
Adjusted CNA Staffing Hours per Resident per Day
2.81937
Adjusted LPN Staffing Hours per Resident per Day
1.48583
Adjusted RN Staffing Hours per Resident per Day
0.32587
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32117
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
20
Cycle 2 Standard Health Survey Date
2013-09-12
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
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
Northwest Florida Community Hospital (snu)
1360 Brickyard Rd |
CHIPLEY FL 32428 | 0.1 mile away