Azalea Health & Rehab Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
345557
Provider Name
AZALEA HEALTH & REHAB CENTER
Provider Address
3800 INDEPENDENCE BOULEVARD
WILMINGTON, NC 28412
WILMINGTON, NC 28412
Provider Phone Number
(910) 392-3110
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WRIGHTSVILLE HEALTH HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
2013-02-13
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.81714
Reported LPN Staffing Hours per Resident per Day
0.91929
Reported RN Staffing Hours per Resident per Day
0.79643
Reported Licensed Staffing Hours per Resident per Day
1.71571
Reported Total Nurse Staffing Hours per Resident per Day
3.53286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20500
Expected CNA Staffing Hours per Resident per Day
2.35206
Expected LPN Staffing Hours per Resident per Day
0.67045
Expected RN Staffing Hours per Resident per Day
1.34730
Expected Total Nurse Staffing Hours per Resident per Day
4.36981
Adjusted CNA Staffing Hours per Resident per Day
1.89566
Adjusted LPN Staffing Hours per Resident per Day
1.13805
Adjusted RN Staffing Hours per Resident per Day
0.44169
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25886
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-12-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
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
2013-02-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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