Clay County Care Center - Hayesville Nursing Home

General Information

UPDATE
Federal Provider Number
345433
Provider Name
CLAY COUNTY CARE CENTER
Provider Address
86 VALLEY HIDEAWAY DRIVE
HAYESVILLE, NC 28904
Provider Phone Number
(828) 389-9941
Provider SSA County
210
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAY COUNTY HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-03-30
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91859
Reported LPN Staffing Hours per Resident per Day
0.80192
Reported RN Staffing Hours per Resident per Day
0.79231
Reported Licensed Staffing Hours per Resident per Day
1.59423
Reported Total Nurse Staffing Hours per Resident per Day
3.51282
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07308
Expected CNA Staffing Hours per Resident per Day
2.46546
Expected LPN Staffing Hours per Resident per Day
0.71650
Expected RN Staffing Hours per Resident per Day
1.12439
Expected Total Nurse Staffing Hours per Resident per Day
4.30634
Adjusted CNA Staffing Hours per Resident per Day
1.90944
Adjusted LPN Staffing Hours per Resident per Day
0.92896
Adjusted RN Staffing Hours per Resident per Day
0.52652
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28813
Cycle 1 Total Number of Health Deficiencies
32
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
206
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
144
Cycle 2 Total Health Score
350
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
208.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
38
Number of Fines
2
Total Amount of Fines in Dollars
182709
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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