Woodruff Manor, Llc - Woodruff Nursing Home
General Information
UPDATEFederal Provider Number
425179
Provider Name
WOODRUFF MANOR, LLC
Provider Address
1114 EAST GEORGIA ROAD
WOODRUFF, SC 29388
WOODRUFF, SC 29388
Provider Phone Number
(864) 476-7092
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODRUFF MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22356
Reported LPN Staffing Hours per Resident per Day
0.57126
Reported RN Staffing Hours per Resident per Day
0.52586
Reported Licensed Staffing Hours per Resident per Day
1.09713
Reported Total Nurse Staffing Hours per Resident per Day
3.32068
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02471
Expected CNA Staffing Hours per Resident per Day
2.59976
Expected LPN Staffing Hours per Resident per Day
0.56933
Expected RN Staffing Hours per Resident per Day
0.83378
Expected Total Nurse Staffing Hours per Resident per Day
4.00287
Adjusted CNA Staffing Hours per Resident per Day
2.09864
Adjusted LPN Staffing Hours per Resident per Day
0.83281
Adjusted RN Staffing Hours per Resident per Day
0.47126
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34393
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
24
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-10-31
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
1
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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