Signature Healthcare of Norfolk
1005 Hampton Blvd, Norfolk, VA 23507


Signature Healthcare of Norfolk is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495068. The address is 1005 Hampton Blvd, Norfolk, VA 23507. The zip code is 23507. The phone number is 7576235602.


Signature Healthcare of Norfolk · 1005 Hampton Blvd, Norfolk, VA 23507

Federal Provider Number 495068
Provider Name SIGNATURE HEALTHCARE OF NORFOLK
Address 1005 HAMPTON BLVD
NORFOLK, VA 23507
Phone Number 7576235602
SSA County Code 641
County Name Norfolk City
Ownership Type For profit - Corporation
Certified Beds 169
Certified Beds Residents 147
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP NORFOLK LLC
Date First Approved to Provide Medicare Medicaid Services 01/27/1970
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.85748
Reported LPN Staffing Hours per Resident per Day 0.66327
Reported RN Staffing Hours per Resident per Day 0.64966
Reported Licensed Staffing Hours per Resident per Day 1.31293
Reported Total Nurse Staffing Hours per Resident per Day 3.17041
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03741
Expected CNA Staffing Hours per Resident per Day 2.39621
Expected LPN Staffing Hours per Resident per Day 0.63483
Expected RN Staffing Hours per Resident per Day 1.09555
Expected Total Nurse Staffing Hours per Resident per Day 4.12659
Adjusted CNA Staffing Hours per Resident per Day 1.90204
Adjusted LPN Staffing Hours per Resident per Day 0.86718
Adjusted RN Staffing Hours per Resident per Day 0.44309
Adjusted Total Nurse Staffing Hours per Resident per Day 3.09689
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 169
Cycle 1 Standard Survey Health Date 02/03/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 169
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 7
Cycle 2 Health Deficiency Score 72
Cycle 2 Standard Health Survey Date 01/14/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 72
Cycle 3 Total Number of Health Deficiencies 17
Cycle 3 Number of Standard Health Deficiencies 14
Cycle 3 Number of Complaint Health Deficiencies 12
Cycle 3 Health Deficiency Score 128
Cycle 3 Standard Health Survey Date 11/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 128
Total Weighted Health Survey Score 129.833
Number of Substantiated Complaints 19
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Signature Healthcare of Norfolk

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 08/01/2014
ASCHENBECK, JAMES (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2014
BAILEY, LE'ANNE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2014
HARRISON, JOHN (Individual) OFFICER since 08/01/2014
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
LAS PALMAS SNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
LPSNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
SHC LP HOLDINGS ,LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/01/2014
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2014
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2014
SIGNATURE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2014

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