Carolina Rehab Center Of Burke - Connelly Spg Nursing Home
General Information
UPDATEFederal Provider Number
345526
Provider Name
CAROLINA REHAB CENTER OF BURKE
Provider Address
3647 MILLER BRIDGE ROAD
CONNELLY SPG, NC 28612
CONNELLY SPG, NC 28612
Provider Phone Number
8283973144
Provider SSA County
110
Provider County Name
Burke
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
2003-03-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92108
Reported LPN Staffing Hours per Resident per Day
0.98795
Reported RN Staffing Hours per Resident per Day
1.00422
Reported Licensed Staffing Hours per Resident per Day
1.99217
Reported Total Nurse Staffing Hours per Resident per Day
3.91325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08976
Expected CNA Staffing Hours per Resident per Day
2.39907
Expected LPN Staffing Hours per Resident per Day
0.74974
Expected RN Staffing Hours per Resident per Day
1.35844
Expected Total Nurse Staffing Hours per Resident per Day
4.50725
Adjusted CNA Staffing Hours per Resident per Day
1.96482
Adjusted LPN Staffing Hours per Resident per Day
1.09372
Adjusted RN Staffing Hours per Resident per Day
0.55236
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49968
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-03-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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