Bermuda Commons Nursing And Rehabilitation Center - Advance Nursing Home
General Information
UPDATEFederal Provider Number
345543
Provider Name
BERMUDA COMMONS NURSING AND REHABILITATION CENTER
Provider Address
316 NC HIGHWAY 801 SOUTH
ADVANCE, NC 27006
ADVANCE, NC 27006
Provider Phone Number
(336) 998-0240
Provider SSA County
290
Provider County Name
Davie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
2008-02-18
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98095
Reported LPN Staffing Hours per Resident per Day
1.10536
Reported RN Staffing Hours per Resident per Day
0.36131
Reported Licensed Staffing Hours per Resident per Day
1.46667
Reported Total Nurse Staffing Hours per Resident per Day
3.44762
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13750
Expected CNA Staffing Hours per Resident per Day
2.48090
Expected LPN Staffing Hours per Resident per Day
0.68816
Expected RN Staffing Hours per Resident per Day
1.24755
Expected Total Nurse Staffing Hours per Resident per Day
4.41661
Adjusted CNA Staffing Hours per Resident per Day
1.95924
Adjusted LPN Staffing Hours per Resident per Day
1.33318
Adjusted RN Staffing Hours per Resident per Day
0.21640
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14653
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
16
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
241670
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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