Blowing Rock Rehab Davant Extended Care Ctr - Blowing Rock Nursing Home
General Information
UPDATEFederal Provider Number
345045
Provider Name
BLOWING ROCK REHAB DAVANT EXTENDED CARE CTR
Provider Address
418 CHESTNUT STREET
BLOWING ROCK, NC 28605
BLOWING ROCK, NC 28605
Provider Phone Number
(828) 295-3136
Provider SSA County
940
Provider County Name
Watauga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BLOWING ROCK HOSPITAL, INC
Date First Approved to Provide Medicare and Medicaid services
1968-01-15
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
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60625
Reported LPN Staffing Hours per Resident per Day
1.34375
Reported RN Staffing Hours per Resident per Day
1.54896
Reported Licensed Staffing Hours per Resident per Day
2.89271
Reported Total Nurse Staffing Hours per Resident per Day
5.49896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25000
Expected CNA Staffing Hours per Resident per Day
2.50090
Expected LPN Staffing Hours per Resident per Day
0.66427
Expected RN Staffing Hours per Resident per Day
1.10305
Expected Total Nurse Staffing Hours per Resident per Day
4.26822
Adjusted CNA Staffing Hours per Resident per Day
2.55706
Adjusted LPN Staffing Hours per Resident per Day
1.67901
Adjusted RN Staffing Hours per Resident per Day
1.04926
Adjusted Total Nurse Staffing Hours per Resident per Day
5.19321
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
8
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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