Overall Rating
Address
1705 Skyln Drive Ofc
Spartanburg, SC 29307
Contact
8645826838
Certification Date
2018-02-09
CMS Certification Number
425410
Ownership Type
For profit - Individual
Number of Certified Beds
26
Average Number of Residents per Day
9.0
Provider Type
Medicare
Legal Business Name
PACIFICA SKYLYN, LLC
Affiliated Entity Name
PACIFICA SENIOR LIVING
Affiliated Entity ID
392
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
Reported LPN Staffing Hours per Resident per Day
Reported RN Staffing Hours per Resident per Day
Reported Total Nurse Staffing Hours per Resident per Day
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
Registered Nurse Hours per Resident per Day on the Weekend
Reported Physical Therapist Staffing Hours per Resident Per Day
Long-Stay Quality Measure Rating
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
62.000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2022-04-15
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
1
Health Deficiency Score
44
Number of Health Revisits
2
Health Revisit Score
22
Total Health Score
66
Standard Health Survey Date
2020-09-07
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
0
Health Deficiency Score
4
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
4
Standard Health Survey Date
2019-02-07
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
4
Health Deficiency Score
166
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
166
Number of Fines
11
Total Amount of Fines in Dollars
211858.68
Number of Payment Denials
1
Total Number of Penalties
12