Provider Name: THE LODGE AT WELLMORE- TEGA CAY
Address: 111 WELLMORE DRIVE, FORT MILL, SC 29708
Phone: (803) 835-7000
County: York (450)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 48.7 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: WELLMORE OF TEGA CAY LLC
First Approved Date: April 18, 2016
Affiliated Entity: ()
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: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.04172, LPN Staff Hours Per Day: 1.7923, RN Staff Hours Per Day: 0.8117, Licensed Staff Hours Per Day: 2.6041
Total Nurse Staff Hours Per Day, per resident: 5.64587
Weekend Nurse Staff Hours: 5.34323, Weekend RN Staff Hours: 0.3286
PT Staff Hours Per Day, per resident: 0.1077
Nurse Staff Turnover: 50.0, Nurse Turnover Note:
RN Turnover: 10.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2339, Case Mix LPN Hours Per Day: 0.7214, Case Mix RN Hours Per Day: 0.3580
Adjusted Nurse Aide Hours Per Day, per resident: 2.77396, Adjusted LPN Hours Per Day: 1.8333, Adjusted RN Hours Per Day: 0.8542
Total Adjusted Nurse Hours Per Day, per resident: 5.37082
Adjusted Weekend Nurse Hours Per Day, per resident: 5.08293
Health Survey Dates and Scores: Cycle 1: 2023-03-23 (Score: 36), Cycle 2: 2021-12-09 (Score: 0), Cycle 3: 2020-02-20 (Score: 4)
Total Weighted Health Score: 18.667
Reported Incidents: 2, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 18902.43, Payment Denials Number: 0, Total Penalties Number: 3
Location and GPS: 111 WELLMORE DRIVE,FORT MILL,SC,29708 (35.0500, -80.992)
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: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2023-10-16
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2023-04-04
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 2023-04-04
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2023-04-04
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 2020-03-25
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: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
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 2020-03-02