Mansfield Place
95 Healthcare Drive, Philippi, WV 26416


Mansfield Place is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515129. The address is 95 Healthcare Drive, Philippi, WV 26416. The zip code is 26416. The phone number is 3044571760.


Mansfield Place · 95 Healthcare Drive, Philippi, WV 26416

Federal Provider Number 515129
Provider Name MANSFIELD PLACE
Address 95 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Phone Number 3044571760
County Name Barbour
Ownership Type Non profit - Corporation
Certified Beds 60
Certified Beds Residents 49
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name BROADDUS HOSPITAL ASSOCIATION INC
Date First Approved to Provide Medicare Medicaid Services 05/20/1994
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.96735
Reported LPN Staffing Hours per Resident per Day 1.02143
Reported RN Staffing Hours per Resident per Day 0.63061
Reported Licensed Staffing Hours per Resident per Day 1.65204
Reported Total Nurse Staffing Hours per Resident per Day 3.61939
Reported Physical Therapist Staffing Hours per Resident Per Day 0.0102
Expected CNA Staffing Hours per Resident per Day 2.50986
Expected LPN Staffing Hours per Resident per Day 0.67546
Expected RN Staffing Hours per Resident per Day 0.9168
Expected Total Nurse Staffing Hours per Resident per Day 4.10212
Adjusted CNA Staffing Hours per Resident per Day 1.92333
Adjusted LPN Staffing Hours per Resident per Day 1.25512
Adjusted RN Staffing Hours per Resident per Day 0.51396
Adjusted Total Nurse Staffing Hours per Resident per Day 3.55656
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 05/05/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 03/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 02/10/2015
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 28
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 52
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $54925.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Mansfield Place

Owner Name Role Association Date
BEVERLY, KATHRYN (Individual) DIRECTOR since 10/06/2010
BEVERLY, KATHRYN (Individual) OFFICER since 10/23/2003
DIGMAN, ROBERT (Individual) DIRECTOR since 10/06/2010
DIGMAN, ROBERT (Individual) OFFICER since 06/01/2002
FRANKE, DANNY (Individual) OFFICER since 06/30/2011
HAYHURST, DOROTHY (Individual) DIRECTOR since 10/06/2010
HAYHURST, DOROTHY (Individual) OFFICER since 06/01/2002
KALAR, CATHERINE (Individual) DIRECTOR since 09/18/2012
KALAR, CATHERINE (Individual) MANAGING EMPLOYEE since 10/06/2010
KELLEY, FORREST (Individual) DIRECTOR since 10/06/2010
KELLEY, FORREST (Individual) OFFICER since 06/24/2004
MCCONNELL, JUDE (Individual) DIRECTOR since 10/06/2010
MCCONNELL, JUDE (Individual) OFFICER since 06/30/2008
POWELSON, JEFFREY (Individual) DIRECTOR since 10/01/2002
POWELSON, JEFFREY (Individual) MANAGING EMPLOYEE since 10/01/2002
ROGERS, JEFFREY (Individual) OFFICER since 06/30/2011
TAYLOR, JAMES (Individual) DIRECTOR since 10/06/2010
TAYLOR, JAMES (Individual) OFFICER since 06/01/2002

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