Charlotte Health & Rehabilitation Center - Charlotte Nursing Home
General Information
UPDATEFederal Provider Number
345405
Provider Name
CHARLOTTE HEALTH & REHABILITATION CENTER
Provider Address
1735 TODDVILLE ROAD
CHARLOTTE, NC 28214
CHARLOTTE, NC 28214
Provider Phone Number
(704) 394-4001
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHARLOTTE HEALTH CARE CENTER 68, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-10-10
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
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
2.05177
Reported LPN Staffing Hours per Resident per Day
0.97788
Reported RN Staffing Hours per Resident per Day
0.60973
Reported Licensed Staffing Hours per Resident per Day
1.58761
Reported Total Nurse Staffing Hours per Resident per Day
3.63938
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11239
Expected CNA Staffing Hours per Resident per Day
2.45805
Expected LPN Staffing Hours per Resident per Day
0.69094
Expected RN Staffing Hours per Resident per Day
1.12302
Expected Total Nurse Staffing Hours per Resident per Day
4.27201
Adjusted CNA Staffing Hours per Resident per Day
2.04814
Adjusted LPN Staffing Hours per Resident per Day
1.17468
Adjusted RN Staffing Hours per Resident per Day
0.40568
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43398
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
157
Cycle 3 Standard Health Survey Date
2012-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
157
Total Weighted Health Survey Score
41.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
216418
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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