Provider Name: STILL HOPES EPISCOPAL RETIREMENT COMMUNITY
Address: 1 STILL HOPES DRIVE, WEST COLUMBIA, SC 29169
Phone: (803) 796-6490
County: Lexington (310)
Ownership Type: Non profit - Corporation
Certified Beds: 22
Average Residents Per Day: 16.1 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES
First Approved Date: June 8, 2011
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 4 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 4 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 4.18485, LPN Staff Hours Per Day: 1.2204, RN Staff Hours Per Day: 3.0002, Licensed Staff Hours Per Day: 4.2207
Total Nurse Staff Hours Per Day, per resident: 8.40556
Weekend Nurse Staff Hours: 6.57601, Weekend RN Staff Hours: 1.5851
PT Staff Hours Per Day, per resident: 0.1776
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.0747, Case Mix LPN Hours Per Day: 0.7360, Case Mix RN Hours Per Day: 0.3932
Adjusted Nurse Aide Hours Per Day, per resident: 4.10932, Adjusted LPN Hours Per Day: 1.2236, Adjusted RN Hours Per Day: 2.8748
Total Adjusted Nurse Hours Per Day, per resident: 8.26927
Adjusted Weekend Nurse Hours Per Day, per resident: 6.46939
Health Survey Dates and Scores: Cycle 1: 2022-02-25 (Score: 20), Cycle 2: 2020-08-26 (Score: 75), Cycle 3: 2019-05-31 (Score: 24)
Total Weighted Health Score: 39.000
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12649.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1 STILL HOPES DRIVE,WEST COLUMBIA,SC,29169 (33.9852, -81.064)
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: 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 2022-03-25
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 2022-03-25
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-28
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2019-06-27
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 2019-06-27
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2019-06-27
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:
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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 2019-07-11