Carolina Rehab Center Of Cumberland - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
345505
Provider Name
CAROLINA REHAB CENTER OF CUMBERLAND
Provider Address
4600 CUMBERLAND ROAD
FAYETTEVILLE, NC 28306
FAYETTEVILLE, NC 28306
Provider Phone Number
(910) 429-1690
Provider SSA County
250
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAROLINA HEALTH CARE CENTER OF CUMBERLAND COUNTY, LP
Date First Approved to Provide Medicare and Medicaid services
2000-10-26
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
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
2.16625
Reported LPN Staffing Hours per Resident per Day
1.16417
Reported RN Staffing Hours per Resident per Day
0.72250
Reported Licensed Staffing Hours per Resident per Day
1.88667
Reported Total Nurse Staffing Hours per Resident per Day
4.05292
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08708
Expected CNA Staffing Hours per Resident per Day
2.45101
Expected LPN Staffing Hours per Resident per Day
0.67720
Expected RN Staffing Hours per Resident per Day
1.09206
Expected Total Nurse Staffing Hours per Resident per Day
4.22026
Adjusted CNA Staffing Hours per Resident per Day
2.16863
Adjusted LPN Staffing Hours per Resident per Day
1.42684
Adjusted RN Staffing Hours per Resident per Day
0.49434
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87107
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
18181
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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