White Sulphur Springs Center - White Sulphur Spring Nursing Home

General Information

UPDATE
Federal Provider Number
515100
Provider Name
WHITE SULPHUR SPRINGS CENTER
Provider Address
ROUTE 92, PO BOX 249
WHITE SULPHUR SPRING, WV 24986
Provider Phone Number
3045364661
Provider SSA County
120
Provider County Name
Greenbrier
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROUTE 92 OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-09
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22000
Reported LPN Staffing Hours per Resident per Day
0.61500
Reported RN Staffing Hours per Resident per Day
0.89667
Reported Licensed Staffing Hours per Resident per Day
1.51167
Reported Total Nurse Staffing Hours per Resident per Day
3.73167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08833
Expected CNA Staffing Hours per Resident per Day
2.48522
Expected LPN Staffing Hours per Resident per Day
0.66859
Expected RN Staffing Hours per Resident per Day
1.20605
Expected Total Nurse Staffing Hours per Resident per Day
4.35986
Adjusted CNA Staffing Hours per Resident per Day
2.19184
Adjusted LPN Staffing Hours per Resident per Day
0.76348
Adjusted RN Staffing Hours per Resident per Day
0.55553
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45011
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-03-13
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
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
183
Cycle 3 Standard Health Survey Date
2011-05-19
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
92
Cycle 3 Total Health Score
275
Total Weighted Health Survey Score
78.50000
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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