Autumn Care Of Biscoe - Biscoe Nursing Home
General Information
UPDATEFederal Provider Number
345000
Provider Name
AUTUMN CARE OF BISCOE
Provider Address
401 LAMBERT ROAD P O BOX 708
BISCOE, NC 27209
BISCOE, NC 27209
Provider Phone Number
(910) 428-2117
Provider SSA County
610
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
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
2
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
2.13632
Reported LPN Staffing Hours per Resident per Day
0.88947
Reported RN Staffing Hours per Resident per Day
0.48842
Reported Licensed Staffing Hours per Resident per Day
1.37789
Reported Total Nurse Staffing Hours per Resident per Day
3.51421
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06842
Expected CNA Staffing Hours per Resident per Day
2.34695
Expected LPN Staffing Hours per Resident per Day
0.60810
Expected RN Staffing Hours per Resident per Day
1.11075
Expected Total Nurse Staffing Hours per Resident per Day
4.06580
Adjusted CNA Staffing Hours per Resident per Day
2.23349
Adjusted LPN Staffing Hours per Resident per Day
1.21405
Adjusted RN Staffing Hours per Resident per Day
0.32856
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48404
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
2014-06-19
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
38
Cycle 2 Total Health Score
114
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
171
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
171
Total Weighted Health Survey Score
66.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
30518
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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