Woodmont Center - Fredericksburg Nursing Home
General Information
UPDATEFederal Provider Number
495246
Provider Name
WOODMONT CENTER
Provider Address
PO BOX 419 11 DAIRY LANE
FREDERICKSBURG, VA 22404
FREDERICKSBURG, VA 22404
Provider Phone Number
(540) 371-9414
Provider SSA County
342
Provider County Name
Fredericksburg City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
11 DAIRY LANE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-05
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
1.93333
Reported LPN Staffing Hours per Resident per Day
0.89412
Reported RN Staffing Hours per Resident per Day
1.06373
Reported Licensed Staffing Hours per Resident per Day
1.95784
Reported Total Nurse Staffing Hours per Resident per Day
3.89118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19804
Expected CNA Staffing Hours per Resident per Day
2.45736
Expected LPN Staffing Hours per Resident per Day
0.67364
Expected RN Staffing Hours per Resident per Day
1.26091
Expected Total Nurse Staffing Hours per Resident per Day
4.39191
Adjusted CNA Staffing Hours per Resident per Day
1.93045
Adjusted LPN Staffing Hours per Resident per Day
1.10166
Adjusted RN Staffing Hours per Resident per Day
0.63035
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57133
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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