Willow Brook Court At Park Pointe Village - Rock Hill Nursing Home
General Information
UPDATEFederal Provider Number
425375
Provider Name
WILLOW BROOK COURT AT PARK POINTE VILLAGE
Provider Address
3025 CHESBROUGH BLVD
ROCK HILL, SC 29732
ROCK HILL, SC 29732
Provider Phone Number
(803) 980-8605
Provider SSA County
450
Provider County Name
York
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PARK POINTE VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-04-25
Continuing Care Retirement Community
Y
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
4
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
2.25714
Reported LPN Staffing Hours per Resident per Day
1.24143
Reported RN Staffing Hours per Resident per Day
0.69286
Reported Licensed Staffing Hours per Resident per Day
1.93429
Reported Total Nurse Staffing Hours per Resident per Day
4.19143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.65168
Expected LPN Staffing Hours per Resident per Day
0.56826
Expected RN Staffing Hours per Resident per Day
0.82360
Expected Total Nurse Staffing Hours per Resident per Day
4.04354
Adjusted CNA Staffing Hours per Resident per Day
2.08861
Adjusted LPN Staffing Hours per Resident per Day
1.81322
Adjusted RN Staffing Hours per Resident per Day
0.62859
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17832
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-08
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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