Clapps Convalescent Nh - Asheboro Nursing Home
General Information
UPDATEFederal Provider Number
345015
Provider Name
CLAPPS CONVALESCENT NH
Provider Address
500 MOUNTAIN TOP DRIVE
ASHEBORO, NC 27203
ASHEBORO, NC 27203
Provider Phone Number
(336) 625-2074
Provider SSA County
750
Provider County Name
Randolph
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAPP'S CONVALESCENT NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.70500
Reported LPN Staffing Hours per Resident per Day
0.86222
Reported RN Staffing Hours per Resident per Day
0.48444
Reported Licensed Staffing Hours per Resident per Day
1.34667
Reported Total Nurse Staffing Hours per Resident per Day
4.05166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07944
Expected CNA Staffing Hours per Resident per Day
2.73825
Expected LPN Staffing Hours per Resident per Day
0.71908
Expected RN Staffing Hours per Resident per Day
1.20831
Expected Total Nurse Staffing Hours per Resident per Day
4.66564
Adjusted CNA Staffing Hours per Resident per Day
2.42391
Adjusted LPN Staffing Hours per Resident per Day
0.99522
Adjusted RN Staffing Hours per Resident per Day
0.29957
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50045
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
4
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-01-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.66700
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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