Autumn Care Of Waynesville - Waynesville Nursing Home
General Information
UPDATEFederal Provider Number
345110
Provider Name
AUTUMN CARE OF WAYNESVILLE
Provider Address
360 OLD BALSAM ROAD
WAYNESVILLE, NC 28786
WAYNESVILLE, NC 28786
Provider Phone Number
(828) 456-7381
Provider SSA County
430
Provider County Name
Haywood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1974-03-06
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.65909
Reported LPN Staffing Hours per Resident per Day
0.43977
Reported RN Staffing Hours per Resident per Day
0.87898
Reported Licensed Staffing Hours per Resident per Day
1.31875
Reported Total Nurse Staffing Hours per Resident per Day
3.97784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07159
Expected CNA Staffing Hours per Resident per Day
2.47773
Expected LPN Staffing Hours per Resident per Day
0.71137
Expected RN Staffing Hours per Resident per Day
1.24551
Expected Total Nurse Staffing Hours per Resident per Day
4.43460
Adjusted CNA Staffing Hours per Resident per Day
2.63331
Adjusted LPN Staffing Hours per Resident per Day
0.51311
Adjusted RN Staffing Hours per Resident per Day
0.52731
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61572
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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