St. Barbara's Memorial Nursing Home · St. Barbaras Memorial Nursing Home Inc

3045345220 · 134 St Barbaras Road, Monongah, WV 26554

Overview

St. Barbara's Memorial Nursing Home is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #515012. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 134 St Barbaras Road, Monongah, WV 26554. The overall rating is 5.

Federal Provider Number 515012
Provider Name ST. BARBARA'S MEMORIAL NURSING HOME
Legal Business Name ST. BARBARAS MEMORIAL NURSING HOME INC
Address 134 St Barbaras Road
Monongah
WV 26554
County Marion
Telephone 3045345220
Ownership Type Non profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1967-01-01
Number of Certified Beds 57
Average Number of Residents per Day 46.3
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 4
Registered Nurses Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.37692
Reported LPN Staffing Hours per Resident per Day 1.10100
Reported RN Staffing Hours per Resident per Day 0.67576
Reported Licensed Staffing Hours per Resident per Day 1.77676
Reported Total Nurse Staffing Hours per Resident per Day 4.15368
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09267
Expected CNA Staffing Hours per Resident per Day 2.30515
Expected LPN Staffing Hours per Resident per Day 0.69780
Expected RN Staffing Hours per Resident per Day 0.35675
Expected Total Nurse Staffing Hours per Resident per Day 3.35970
Adjusted CNA Staffing Hours per Resident per Day 2.12289
Adjusted LPN Staffing Hours per Resident per Day 1.16902
Adjusted RN Staffing Hours per Resident per Day 0.75806
Adjusted Total Nurse Staffing Hours per Resident per Day 3.95611
Rating Cycle 1 Standard Survey Health Date 2019-07-10
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 11
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 100
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 100
Rating Cycle 2 Standard Health Survey Date 2018-09-27
Rating Cycle 2 Total Number of Health Deficiencies 8
Rating Cycle 2 Number of Standard Health Deficiencies 7
Rating Cycle 2 Number of Complavarchar Health Deficiencies 1
Rating Cycle 2 Health Deficiency Score 48
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 48
Rating Cycle 3 Standard Health Survey Date 2017-10-18
Rating Cycle 3 Total Number of Health Deficiencies 4
Rating Cycle 3 Number of Standard Health Deficiencies 4
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 32
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 71.333
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 2
Number of Citations from Infection Control Inspections 1
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
ST. BARBARA'S MEMORIAL NURSING HOME

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTCOTTRILL, ROBERTAIndividualNO PERCENTAGE PROVIDEDsince 01/28/2013
MANAGING EMPLOYEECOTTRILL, ROBERTAIndividualsince 01/28/2013
MANAGING EMPLOYEEYOHO, MICHELLEIndividualsince 11/09/2011
OFFICERCOTTRILL, ROBERTAIndividualsince 01/28/2013

Location Information

Street Address 134 ST BARBARAS ROAD
City MONONGAH
State WV
Zip Code 26554

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.