Wayne Nursing And Rehabilitation Center, Llc - Wayne Nursing Home
General Information
UPDATEFederal Provider Number
515168
Provider Name
WAYNE NURSING AND REHABILITATION CENTER, LLC
Provider Address
6999 ROUTE 152
WAYNE, WV 25570
WAYNE, WV 25570
Provider Phone Number
(304) 697-7007
Provider SSA County
490
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAYNE NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1999-01-01
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
5
Health Inspection Rating Footnote
QM Rating
5
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
2.04492
Reported LPN Staffing Hours per Resident per Day
1.08983
Reported RN Staffing Hours per Resident per Day
0.50508
Reported Licensed Staffing Hours per Resident per Day
1.59492
Reported Total Nurse Staffing Hours per Resident per Day
3.63983
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03390
Expected CNA Staffing Hours per Resident per Day
2.43375
Expected LPN Staffing Hours per Resident per Day
0.65072
Expected RN Staffing Hours per Resident per Day
1.09882
Expected Total Nurse Staffing Hours per Resident per Day
4.18330
Adjusted CNA Staffing Hours per Resident per Day
2.06168
Adjusted LPN Staffing Hours per Resident per Day
1.39008
Adjusted RN Staffing Hours per Resident per Day
0.34345
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50723
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-13
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
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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