Brookshire Nursing Center - Hillsborough Nursing Home
General Information
UPDATEFederal Provider Number
345439
Provider Name
BROOKSHIRE NURSING CENTER
Provider Address
300 MEADOWLAND DRIVE
HILLSBOROUGH, NC 27278
HILLSBOROUGH, NC 27278
Provider Phone Number
(919) 644-6714
Provider SSA County
670
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKSHIRE INC
Date First Approved to Provide Medicare and Medicaid services
1993-06-23
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.14028
Reported LPN Staffing Hours per Resident per Day
1.25556
Reported RN Staffing Hours per Resident per Day
0.86042
Reported Licensed Staffing Hours per Resident per Day
2.11597
Reported Total Nurse Staffing Hours per Resident per Day
4.25626
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25972
Expected CNA Staffing Hours per Resident per Day
2.60275
Expected LPN Staffing Hours per Resident per Day
0.67505
Expected RN Staffing Hours per Resident per Day
1.17991
Expected Total Nurse Staffing Hours per Resident per Day
4.45770
Adjusted CNA Staffing Hours per Resident per Day
2.01772
Adjusted LPN Staffing Hours per Resident per Day
1.54377
Adjusted RN Staffing Hours per Resident per Day
0.54488
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84874
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-11-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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