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Waverly Health And Rehabilitation Center - Waverly Nursing Home

General Information

UPDATE
Federal Provider Number
495185
Provider Name
WAVERLY HEALTH AND REHABILITATION CENTER
Provider Address
456 E MAIN ST
WAVERLY, VA 23890
Provider Phone Number
8048343975
Provider SSA County
910
Provider County Name
Sussex
Ownership Type
For profit - Partnership
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
MEDICAL FACILITIES OF AMERICA L
Date First Approved to Provide Medicare and Medicaid services
1988-11-15
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.88165
Reported LPN Staffing Hours per Resident per Day
0.86239
Reported RN Staffing Hours per Resident per Day
0.42110
Reported Licensed Staffing Hours per Resident per Day
1.28349
Reported Total Nurse Staffing Hours per Resident per Day
3.16514
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06606
Expected CNA Staffing Hours per Resident per Day
2.28792
Expected LPN Staffing Hours per Resident per Day
0.62943
Expected RN Staffing Hours per Resident per Day
0.95841
Expected Total Nurse Staffing Hours per Resident per Day
3.87576
Adjusted CNA Staffing Hours per Resident per Day
2.01799
Adjusted LPN Staffing Hours per Resident per Day
1.13719
Adjusted RN Staffing Hours per Resident per Day
0.32830
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29183
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
36
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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