College Pines Health And Rehab Center - Connellys Springs Nursing Home
General Information
UPDATEFederal Provider Number
345446
Provider Name
COLLEGE PINES HEALTH AND REHAB CENTER
Provider Address
95 LOCUST STREET
CONNELLYS SPRINGS, NC 28612
CONNELLYS SPRINGS, NC 28612
Provider Phone Number
(828) 874-6800
Provider SSA County
110
Provider County Name
Burke
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALDESE NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-13
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77500
Reported LPN Staffing Hours per Resident per Day
0.59010
Reported RN Staffing Hours per Resident per Day
1.10990
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
4.47500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06979
Expected CNA Staffing Hours per Resident per Day
2.63358
Expected LPN Staffing Hours per Resident per Day
0.68110
Expected RN Staffing Hours per Resident per Day
1.10398
Expected Total Nurse Staffing Hours per Resident per Day
4.41866
Adjusted CNA Staffing Hours per Resident per Day
2.58546
Adjusted LPN Staffing Hours per Resident per Day
0.71911
Adjusted RN Staffing Hours per Resident per Day
0.75121
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08230
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
154
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
154
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
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
6576
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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