Provider Name: PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-SUMMERV
Address: 201 W 9TH NORTH STREET, SUMMERVILLE, SC 29483
Phone: (843) 873-2550
County: Dorchester (170)
Ownership Type: Non profit - Corporation
Certified Beds: 48
Average Residents Per Day: 35.3 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
First Approved Date: January 15, 2009
Affiliated Entity: PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA (411)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.72675, LPN Staff Hours Per Day: 1.4627, RN Staff Hours Per Day: 1.3085, Licensed Staff Hours Per Day: 2.7712
Total Nurse Staff Hours Per Day, per resident: 5.49800
Weekend Nurse Staff Hours: 4.84521, Weekend RN Staff Hours: 1.2449
PT Staff Hours Per Day, per resident: 0.2919
Nurse Staff Turnover: 49.0, Nurse Turnover Note:
RN Turnover: 25.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1290, Case Mix LPN Hours Per Day: 0.8895, Case Mix RN Hours Per Day: 0.5879
Adjusted Nurse Aide Hours Per Day, per resident: 2.60914, Adjusted LPN Hours Per Day: 1.2134, Adjusted RN Hours Per Day: 0.8385
Total Adjusted Nurse Hours Per Day, per resident: 4.80501
Adjusted Weekend Nurse Hours Per Day, per resident: 4.23451
Health Survey Dates and Scores: Cycle 1: 2023-04-19 (Score: 0), Cycle 2: 2021-08-20 (Score: 4), Cycle 3: 2019-08-16 (Score: 52)
Total Weighted Health Score: 10.000
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 201 W 9TH NORTH STREET,SUMMERVILLE,SC,29483 (33.0178, -80.211)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-28
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2019-08-16
Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-02
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-02
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-02
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-02
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: