Autumn Care Of Myrtle Grove - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
345507
Provider Name
AUTUMN CARE OF MYRTLE GROVE
Provider Address
5725 CAROLINA BEACH ROAD
WILMINGTON, NC 28408
WILMINGTON, NC 28408
Provider Phone Number
(910) 792-1455
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2000-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
3
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
2.84177
Reported LPN Staffing Hours per Resident per Day
1.32278
Reported RN Staffing Hours per Resident per Day
0.70696
Reported Licensed Staffing Hours per Resident per Day
2.02975
Reported Total Nurse Staffing Hours per Resident per Day
4.87151
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18861
Expected CNA Staffing Hours per Resident per Day
2.51196
Expected LPN Staffing Hours per Resident per Day
0.69275
Expected RN Staffing Hours per Resident per Day
1.17281
Expected Total Nurse Staffing Hours per Resident per Day
4.37752
Adjusted CNA Staffing Hours per Resident per Day
2.77587
Adjusted LPN Staffing Hours per Resident per Day
1.58485
Adjusted RN Staffing Hours per Resident per Day
0.45041
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48577
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-11
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
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
2012-06-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
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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