Camelot Manor Nursing Care Fac - Granite Falls Nursing Home

General Information

UPDATE
Federal Provider Number
345246
Provider Name
CAMELOT MANOR NURSING CARE FAC
Provider Address
100 SUNSET STREET
GRANITE FALLS, NC 28630
Provider Phone Number
(828) 396-2387
Provider SSA County
130
Provider County Name
Caldwell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMELOT MANOR NURSING CARE FACILITY INC
Date First Approved to Provide Medicare and Medicaid services
1985-12-03
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61577
Reported LPN Staffing Hours per Resident per Day
0.37072
Reported RN Staffing Hours per Resident per Day
0.66982
Reported Licensed Staffing Hours per Resident per Day
1.04054
Reported Total Nurse Staffing Hours per Resident per Day
3.65631
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01306
Expected CNA Staffing Hours per Resident per Day
2.63997
Expected LPN Staffing Hours per Resident per Day
0.66381
Expected RN Staffing Hours per Resident per Day
1.01882
Expected Total Nurse Staffing Hours per Resident per Day
4.32260
Adjusted CNA Staffing Hours per Resident per Day
2.43121
Adjusted LPN Staffing Hours per Resident per Day
0.46353
Adjusted RN Staffing Hours per Resident per Day
0.49124
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40958
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
273
Cycle 2 Standard Health Survey Date
2014-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
273
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
441
Cycle 3 Standard Health Survey Date
2014-01-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
221
Cycle 3 Total Health Score
662
Total Weighted Health Survey Score
225.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
164408
Number of Payment Denials
2
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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