Clapps Nursing Center Inc - Pleasant Garden Nursing Home
General Information
UPDATEFederal Provider Number
345024
Provider Name
CLAPPS NURSING CENTER INC
Provider Address
5229 APPOMATTOX ROAD
PLEASANT GARDEN, NC 27313
PLEASANT GARDEN, NC 27313
Provider Phone Number
3366742252
Provider SSA County
400
Provider County Name
Guilford
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAPP'S NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.14739
Reported LPN Staffing Hours per Resident per Day
1.08261
Reported RN Staffing Hours per Resident per Day
0.43826
Reported Licensed Staffing Hours per Resident per Day
1.52087
Reported Total Nurse Staffing Hours per Resident per Day
3.66826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08957
Expected CNA Staffing Hours per Resident per Day
2.78099
Expected LPN Staffing Hours per Resident per Day
0.67613
Expected RN Staffing Hours per Resident per Day
1.06595
Expected Total Nurse Staffing Hours per Resident per Day
4.52307
Adjusted CNA Staffing Hours per Resident per Day
1.89467
Adjusted LPN Staffing Hours per Resident per Day
1.32897
Adjusted RN Staffing Hours per Resident per Day
0.30721
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26910
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-26
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.00000
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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