Central Continuing Care - Mount Airy Nursing Home
General Information
UPDATEFederal Provider Number
345410
Provider Name
CENTRAL CONTINUING CARE
Provider Address
1287 NEWSOME STREET
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
Provider Phone Number
(336) 786-2133
Provider SSA County
850
Provider County Name
Surry
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCC OF MT. AIRY, INC
Date First Approved to Provide Medicare and Medicaid services
1991-12-19
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.79135
Reported LPN Staffing Hours per Resident per Day
0.80337
Reported RN Staffing Hours per Resident per Day
0.59135
Reported Licensed Staffing Hours per Resident per Day
1.39471
Reported Total Nurse Staffing Hours per Resident per Day
4.18607
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04663
Expected CNA Staffing Hours per Resident per Day
2.49154
Expected LPN Staffing Hours per Resident per Day
0.63179
Expected RN Staffing Hours per Resident per Day
1.00027
Expected Total Nurse Staffing Hours per Resident per Day
4.12360
Adjusted CNA Staffing Hours per Resident per Day
2.74896
Adjusted LPN Staffing Hours per Resident per Day
1.05542
Adjusted RN Staffing Hours per Resident per Day
0.44174
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09197
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
48
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
2014-01-23
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
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
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.33300
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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