Capital Nursing And Rehabilitation Center - Raleigh Nursing Home
General Information
UPDATEFederal Provider Number
345202
Provider Name
CAPITAL NURSING AND REHABILITATION CENTER
Provider Address
3000 HOLSTON LANE
RALEIGH, NC 27610
RALEIGH, NC 27610
Provider Phone Number
(919) 231-6045
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.68989
Reported LPN Staffing Hours per Resident per Day
0.46798
Reported RN Staffing Hours per Resident per Day
0.85056
Reported Licensed Staffing Hours per Resident per Day
1.31854
Reported Total Nurse Staffing Hours per Resident per Day
3.00843
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12191
Expected CNA Staffing Hours per Resident per Day
2.64192
Expected LPN Staffing Hours per Resident per Day
0.72009
Expected RN Staffing Hours per Resident per Day
1.12455
Expected Total Nurse Staffing Hours per Resident per Day
4.48656
Adjusted CNA Staffing Hours per Resident per Day
1.56950
Adjusted LPN Staffing Hours per Resident per Day
0.53941
Adjusted RN Staffing Hours per Resident per Day
0.56515
Adjusted Total Nurse Staffing Hours per Resident per Day
2.70289
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5248
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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