Willowbrook Rehabilitation And Care Center - Yadkinville Nursing Home
General Information
UPDATEFederal Provider Number
345466
Provider Name
WILLOWBROOK REHABILITATION AND CARE CENTER
Provider Address
333 EAST LEE STREET
YADKINVILLE, NC 27055
YADKINVILLE, NC 27055
Provider Phone Number
3366798028
Provider SSA County
980
Provider County Name
Yadkin
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWBROOK HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-10-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.73649
Reported LPN Staffing Hours per Resident per Day
0.78851
Reported RN Staffing Hours per Resident per Day
0.51216
Reported Licensed Staffing Hours per Resident per Day
1.30068
Reported Total Nurse Staffing Hours per Resident per Day
3.03716
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04662
Expected CNA Staffing Hours per Resident per Day
2.56805
Expected LPN Staffing Hours per Resident per Day
0.69524
Expected RN Staffing Hours per Resident per Day
1.18202
Expected Total Nurse Staffing Hours per Resident per Day
4.44531
Adjusted CNA Staffing Hours per Resident per Day
1.65917
Adjusted LPN Staffing Hours per Resident per Day
0.94135
Adjusted RN Staffing Hours per Resident per Day
0.32375
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75402
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
16526
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Yadkin Nursing Care Center
903 W Main Street Box 879 |
YADKINVILLE NC 27055 | 0.6 mile away
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