Asbury Care Center - Charlotte Nursing Home
General Information
UPDATEFederal Provider Number
345544
Provider Name
ASBURY CARE CENTER
Provider Address
3625 WILLARD FARROW DRIVE
CHARLOTTE, NC 28215
CHARLOTTE, NC 28215
Provider Phone Number
(704) 532-7000
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
44
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ALDERSGATE UNITED METHODIST RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-07-16
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56250
Reported LPN Staffing Hours per Resident per Day
1.28750
Reported RN Staffing Hours per Resident per Day
1.16818
Reported Licensed Staffing Hours per Resident per Day
2.45568
Reported Total Nurse Staffing Hours per Resident per Day
5.01818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37386
Expected CNA Staffing Hours per Resident per Day
2.34606
Expected LPN Staffing Hours per Resident per Day
0.77509
Expected RN Staffing Hours per Resident per Day
1.71753
Expected Total Nurse Staffing Hours per Resident per Day
4.83868
Adjusted CNA Staffing Hours per Resident per Day
2.68008
Adjusted LPN Staffing Hours per Resident per Day
1.37870
Adjusted RN Staffing Hours per Resident per Day
0.50821
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18043
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
12
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.00000
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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