Brookside Rehabilitation And Care - Burnsville Nursing Home
General Information
UPDATEFederal Provider Number
345305
Provider Name
BROOKSIDE REHABILITATION AND CARE
Provider Address
POST OFFICE BOX 248
BURNSVILLE, NC 28714
BURNSVILLE, NC 28714
Provider Phone Number
8286829759
Provider SSA County
981
Provider County Name
Yancey
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR CARE GROUP OF YANCEY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-29
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
2
QM Rating Footnote
Staffing Rating
3
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
2.06237
Reported LPN Staffing Hours per Resident per Day
0.68333
Reported RN Staffing Hours per Resident per Day
0.78871
Reported Licensed Staffing Hours per Resident per Day
1.47204
Reported Total Nurse Staffing Hours per Resident per Day
3.53441
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03172
Expected CNA Staffing Hours per Resident per Day
2.37037
Expected LPN Staffing Hours per Resident per Day
0.65740
Expected RN Staffing Hours per Resident per Day
1.03124
Expected Total Nurse Staffing Hours per Resident per Day
4.05900
Adjusted CNA Staffing Hours per Resident per Day
2.13487
Adjusted LPN Staffing Hours per Resident per Day
0.86274
Adjusted RN Staffing Hours per Resident per Day
0.57147
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50994
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
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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