Cross Creek Health Care - Swanquarter Nursing Home
General Information
UPDATEFederal Provider Number
345407
Provider Name
CROSS CREEK HEALTH CARE
Provider Address
1719 SWAN QUARTER ROAD
SWANQUARTER, NC 27885
SWANQUARTER, NC 27885
Provider Phone Number
2529262143
Provider SSA County
470
Provider County Name
Hyde
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.87778
Reported LPN Staffing Hours per Resident per Day
0.32333
Reported RN Staffing Hours per Resident per Day
0.80222
Reported Licensed Staffing Hours per Resident per Day
1.12556
Reported Total Nurse Staffing Hours per Resident per Day
3.00333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03000
Expected CNA Staffing Hours per Resident per Day
2.32852
Expected LPN Staffing Hours per Resident per Day
0.60644
Expected RN Staffing Hours per Resident per Day
0.88347
Expected Total Nurse Staffing Hours per Resident per Day
3.81843
Adjusted CNA Staffing Hours per Resident per Day
1.97873
Adjusted LPN Staffing Hours per Resident per Day
0.44252
Adjusted RN Staffing Hours per Resident per Day
0.67848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17045
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-06-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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