Autumn Care Of Raeford - Raeford Nursing Home
General Information
UPDATEFederal Provider Number
345280
Provider Name
AUTUMN CARE OF RAEFORD
Provider Address
1206 N FULTON STREET
RAEFORD, NC 28376
RAEFORD, NC 28376
Provider Phone Number
9108754280
Provider SSA County
460
Provider County Name
Hoke
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1988-06-16
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
2
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
2.82257
Reported LPN Staffing Hours per Resident per Day
1.04602
Reported RN Staffing Hours per Resident per Day
0.54469
Reported Licensed Staffing Hours per Resident per Day
1.59071
Reported Total Nurse Staffing Hours per Resident per Day
4.41328
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05619
Expected CNA Staffing Hours per Resident per Day
2.40478
Expected LPN Staffing Hours per Resident per Day
0.62392
Expected RN Staffing Hours per Resident per Day
1.06712
Expected Total Nurse Staffing Hours per Resident per Day
4.09583
Adjusted CNA Staffing Hours per Resident per Day
2.87999
Adjusted LPN Staffing Hours per Resident per Day
1.39151
Adjusted RN Staffing Hours per Resident per Day
0.38139
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34332
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
2015-05-14
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
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
174
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2013-03-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
53300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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