Cabell Health Care Center
30 Hidden Brook Way, Culloden, WV 25510


Cabell Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515192. The address is 30 Hidden Brook Way, Culloden, WV 25510. The zip code is 25510. The phone number is 3043905709.


Cabell Health Care Center · 30 Hidden Brook Way, Culloden, WV 25510

Federal Provider Number 515192
Provider Name CABELL HEALTH CARE CENTER
Address 30 HIDDEN BROOK WAY
CULLODEN, WV 25510
Phone Number 3043905709
SSA County Code 50
County Name Cabell
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 79
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CABELL HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 06/04/2012
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 2
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.06266
Reported LPN Staffing Hours per Resident per Day 0.88671
Reported RN Staffing Hours per Resident per Day 0.74747
Reported Licensed Staffing Hours per Resident per Day 1.63418
Reported Total Nurse Staffing Hours per Resident per Day 3.69684
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06899
Expected CNA Staffing Hours per Resident per Day 2.4296
Expected LPN Staffing Hours per Resident per Day 0.66039
Expected RN Staffing Hours per Resident per Day 1.19334
Expected Total Nurse Staffing Hours per Resident per Day 4.28333
Adjusted CNA Staffing Hours per Resident per Day 2.08312
Adjusted LPN Staffing Hours per Resident per Day 1.11444
Adjusted RN Staffing Hours per Resident per Day 0.46802
Adjusted Total Nurse Staffing Hours per Resident per Day 3.47897
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 12
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 07/07/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 06/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 24
Cycle 3 Number of Standard Health Deficiencies 24
Cycle 3 Health Deficiency Score 164
Cycle 3 Standard Health Survey Date 01/23/2014
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 82
Cycle 3 Total Health Score 246
Total Weighted Health Survey Score 86.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Cabell Health Care Center

Owner Name Role Association Date
ELLIOTT, JOHN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014
ELLIOTT, JOHN (Individual) DIRECTOR since 07/01/2014
JONES, TODD (Individual) DIRECTOR since 07/01/2014
JONES, TODD (Individual) MANAGING EMPLOYEE since 07/01/2014
VANDALIA ACQ., LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2014
WINEBERRY LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
WOODMERE HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014

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