Bethesda Health Care Facility - Eastover Nursing Home
General Information
UPDATEFederal Provider Number
345212
Provider Name
BETHESDA HEALTH CARE FACILITY
Provider Address
3532 DUNN ROAD
EASTOVER, NC 28301
EASTOVER, NC 28301
Provider Phone Number
(910) 323-3223
Provider SSA County
250
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACTOM INC
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.54277
Reported LPN Staffing Hours per Resident per Day
1.10000
Reported RN Staffing Hours per Resident per Day
0.23916
Reported Licensed Staffing Hours per Resident per Day
1.33916
Reported Total Nurse Staffing Hours per Resident per Day
3.88193
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00843
Expected CNA Staffing Hours per Resident per Day
2.72816
Expected LPN Staffing Hours per Resident per Day
0.77985
Expected RN Staffing Hours per Resident per Day
1.03133
Expected Total Nurse Staffing Hours per Resident per Day
4.53935
Adjusted CNA Staffing Hours per Resident per Day
2.28696
Adjusted LPN Staffing Hours per Resident per Day
1.17073
Adjusted RN Staffing Hours per Resident per Day
0.17327
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44712
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-12
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
8.66700
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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