Clay Health Care Center
1053 Clinic Drive, Ivydale, WV 25113


Clay Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515142. The address is 1053 Clinic Drive, Ivydale, WV 25113. The zip code is 25113. The phone number is 3042864204.


Clay Health Care Center · 1053 Clinic Drive, Ivydale, WV 25113

Federal Provider Number 515142
Provider Name CLAY HEALTH CARE CENTER
Address 1053 CLINIC DRIVE
IVYDALE, WV 25113
Phone Number 3042864204
SSA County Code 70
County Name Clay
Ownership Type For profit - Partnership
Certified Beds 60
Certified Beds Residents 50
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CLAY HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 06/11/1996
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.274
Reported LPN Staffing Hours per Resident per Day 0.962
Reported RN Staffing Hours per Resident per Day 0.744
Reported Licensed Staffing Hours per Resident per Day 1.706
Reported Total Nurse Staffing Hours per Resident per Day 3.98
Reported Physical Therapist Staffing Hours per Resident Per Day 0.017
Expected CNA Staffing Hours per Resident per Day 2.58408
Expected LPN Staffing Hours per Resident per Day 0.76186
Expected RN Staffing Hours per Resident per Day 1.35378
Expected Total Nurse Staffing Hours per Resident per Day 4.69972
Adjusted CNA Staffing Hours per Resident per Day 2.15927
Adjusted LPN Staffing Hours per Resident per Day 1.04804
Adjusted RN Staffing Hours per Resident per Day 0.41064
Adjusted Total Nurse Staffing Hours per Resident per Day 3.41361
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 01/12/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 09/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Standard Health Survey Date 07/25/2014
Total Weighted Health Survey Score 32.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Clay Health Care Center

Owner Name Role Association Date
AMERICAN MEDICAL FACILITIES (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
AMFM INVESTMENTS IRREVOCABLE TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014
AMFM LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014
CARPENTER, LINDA (Individual) MANAGING EMPLOYEE since 07/01/2014
ELLIOTT, JOHN (Individual) OFFICER since 07/01/2014
ELLIOTT, JOHN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
JONES, TODD (Individual) OFFICER since 07/01/2014
JONES, TODD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
SOUTHERN INVESTMENT LEASING COMPANY LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2014
STOVER, PATRICIA (Individual) MANAGING EMPLOYEE since 07/01/2014

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