Carolina Rivers Nursing And Rehabilitation Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
345072
Provider Name
CAROLINA RIVERS NURSING AND REHABILITATION CENTER
Provider Address
1839 ONSLOW DRIVE EXTENSION
JACKSONVILLE, NC 28540
JACKSONVILLE, NC 28540
Provider Phone Number
9104553610
Provider SSA County
660
Provider County Name
Onslow
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28425
Reported LPN Staffing Hours per Resident per Day
0.89315
Reported RN Staffing Hours per Resident per Day
0.60959
Reported Licensed Staffing Hours per Resident per Day
1.50274
Reported Total Nurse Staffing Hours per Resident per Day
3.78699
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12808
Expected CNA Staffing Hours per Resident per Day
2.49166
Expected LPN Staffing Hours per Resident per Day
0.70737
Expected RN Staffing Hours per Resident per Day
1.29162
Expected Total Nurse Staffing Hours per Resident per Day
4.49065
Adjusted CNA Staffing Hours per Resident per Day
2.24945
Adjusted LPN Staffing Hours per Resident per Day
1.04798
Adjusted RN Staffing Hours per Resident per Day
0.35265
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39928
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
200
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
200
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
106.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
23855
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Premier Nursing And Rehabilitation Center
225 White Street |
JACKSONVILLE NC 28546 | 2.5 miles away
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