Dinwiddie Health and Rehab Center
46 Diamond Drive, Petersburg, VA 23803


Dinwiddie Health and Rehab Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495398. The address is 46 Diamond Drive, Petersburg, VA 23803. The zip code is 23803. The phone number is 8045180780.


Dinwiddie Health and Rehab Center · 46 Diamond Drive, Petersburg, VA 23803

Federal Provider Number 495398
Provider Name DINWIDDIE HEALTH AND REHAB CENTER
Address 46 DIAMOND DRIVE
PETERSBURG, VA 23803
Phone Number 8045180780
SSA County Code 701
County Name Petersburg City
Ownership Type For profit - Corporation
Certified Beds 60
Certified Beds Residents 57
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name DINWIDDIE HEALTH CARE LLC
Date First Approved to Provide Medicare Medicaid Services 10/28/2008
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 2
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.22281
Reported LPN Staffing Hours per Resident per Day 1.26667
Reported RN Staffing Hours per Resident per Day 0.39386
Reported Licensed Staffing Hours per Resident per Day 1.66053
Reported Total Nurse Staffing Hours per Resident per Day 3.88334
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10877
Expected CNA Staffing Hours per Resident per Day 2.47082
Expected LPN Staffing Hours per Resident per Day 0.72856
Expected RN Staffing Hours per Resident per Day 1.21195
Expected Total Nurse Staffing Hours per Resident per Day 4.41133
Adjusted CNA Staffing Hours per Resident per Day 2.20741
Adjusted LPN Staffing Hours per Resident per Day 1.44304
Adjusted RN Staffing Hours per Resident per Day 0.24282
Adjusted Total Nurse Staffing Hours per Resident per Day 3.54845
Cycle 1 Standard Survey Health Date 10/06/2016
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 11/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 18
Cycle 3 Number of Complaint Health Deficiencies 18
Cycle 3 Health Deficiency Score 124
Cycle 3 Standard Health Survey Date 11/07/2014
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 62
Cycle 3 Total Health Score 186
Total Weighted Health Survey Score 44.333
Number of Substantiated Complaints 5
Number of Fines 1
Total Amount of Fines in Dollars $1950.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Dinwiddie Health and Rehab Center

Owner Name Role Association Date
BDSHEFFER LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
since 08/01/2008
COMMONWEALTH CARE OF ROANOKE INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/14/2007
DJ PETRINE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
48%
since 08/01/2008
GOODALL, LURY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 08/01/2008
HUFFMAN, STANLEY (Individual) OFFICER since 06/15/2015
OAKLEY, AMY (Individual) MANAGING EMPLOYEE since 04/01/2011
PETRINE, DEBORAH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
since 08/01/2008
PETRINE, DEBORAH (Individual) OFFICER since 08/01/2008
PETRINE, JAMES (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
since 08/01/2008
SHEFFER, BRADY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
since 08/01/2008
STALLARD, PATRICIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
since 08/01/2008
TUCKER, DAVID (Individual) OFFICER since 07/01/2007

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