Alexandria Place - Gastonia Nursing Home
General Information
UPDATEFederal Provider Number
345441
Provider Name
ALEXANDRIA PLACE
Provider Address
1770 OAK HOLLOW ROAD
GASTONIA, NC 28054
GASTONIA, NC 28054
Provider Phone Number
(704) 853-8175
Provider SSA County
350
Provider County Name
Gaston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOS, INC
Date First Approved to Provide Medicare and Medicaid services
1993-07-07
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.84474
Reported LPN Staffing Hours per Resident per Day
1.20175
Reported RN Staffing Hours per Resident per Day
0.92719
Reported Licensed Staffing Hours per Resident per Day
2.12895
Reported Total Nurse Staffing Hours per Resident per Day
5.97368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08772
Expected CNA Staffing Hours per Resident per Day
2.51508
Expected LPN Staffing Hours per Resident per Day
0.73244
Expected RN Staffing Hours per Resident per Day
1.27117
Expected Total Nurse Staffing Hours per Resident per Day
4.51869
Adjusted CNA Staffing Hours per Resident per Day
3.75090
Adjusted LPN Staffing Hours per Resident per Day
1.36183
Adjusted RN Staffing Hours per Resident per Day
0.54501
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32883
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
2014-10-23
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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