Autumn Care Of Marshville - Marshville Nursing Home
General Information
UPDATEFederal Provider Number
345268
Provider Name
AUTUMN CARE OF MARSHVILLE
Provider Address
311 W PHIFER STREET
MARSHVILLE, NC 28103
MARSHVILLE, NC 28103
Provider Phone Number
(704) 624-6643
Provider SSA County
890
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1987-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
3.05446
Reported LPN Staffing Hours per Resident per Day
0.71139
Reported RN Staffing Hours per Resident per Day
0.91733
Reported Licensed Staffing Hours per Resident per Day
1.62871
Reported Total Nurse Staffing Hours per Resident per Day
4.68318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08564
Expected CNA Staffing Hours per Resident per Day
2.19852
Expected LPN Staffing Hours per Resident per Day
0.65330
Expected RN Staffing Hours per Resident per Day
1.17112
Expected Total Nurse Staffing Hours per Resident per Day
4.02294
Adjusted CNA Staffing Hours per Resident per Day
3.40899
Adjusted LPN Staffing Hours per Resident per Day
0.90381
Adjusted RN Staffing Hours per Resident per Day
0.58528
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69245
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
2014-06-05
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
12
Cycle 2 Standard Health Survey Date
2013-03-28
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
114760
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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