Welch Community Hospital - Welch Nursing Home
General Information
UPDATEFederal Provider Number
51A009
Provider Name
WELCH COMMUNITY HOSPITAL
Provider Address
454 MCDOWELL STREET
WELCH, WV 24801
WELCH, WV 24801
Provider Phone Number
3044368680
Provider SSA County
230
Provider County Name
Mc Dowell
Ownership Type
Government - State
Number of Certified Beds
59
Number of Residents in Certified Beds
39
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
1999-04-05
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
2
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
2.82436
Reported LPN Staffing Hours per Resident per Day
1.66795
Reported RN Staffing Hours per Resident per Day
0.39744
Reported Licensed Staffing Hours per Resident per Day
2.06538
Reported Total Nurse Staffing Hours per Resident per Day
4.88975
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.24707
Expected LPN Staffing Hours per Resident per Day
0.59045
Expected RN Staffing Hours per Resident per Day
0.85988
Expected Total Nurse Staffing Hours per Resident per Day
3.69740
Adjusted CNA Staffing Hours per Resident per Day
3.08408
Adjusted LPN Staffing Hours per Resident per Day
2.34463
Adjusted RN Staffing Hours per Resident per Day
0.34536
Adjusted Total Nurse Staffing Hours per Resident per Day
5.33079
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2013-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-11-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
521
Cycle 3 Standard Health Survey Date
2010-06-04
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
261
Cycle 3 Total Health Score
782
Total Weighted Health Survey Score
189.66700
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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