Crabtree Valley Rehab Center - Raleigh Nursing Home
General Information
UPDATEFederal Provider Number
345555
Provider Name
CRABTREE VALLEY REHAB CENTER
Provider Address
3830 BLUE RIDGE ROAD
RALEIGH, NC 27612
RALEIGH, NC 27612
Provider Phone Number
(919) 781-4900
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RALEIGH REGIONAL REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2012-11-08
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
3
QM Rating Footnote
Staffing Rating
3
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
2.37054
Reported LPN Staffing Hours per Resident per Day
1.30194
Reported RN Staffing Hours per Resident per Day
0.53140
Reported Licensed Staffing Hours per Resident per Day
1.83333
Reported Total Nurse Staffing Hours per Resident per Day
4.20388
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09264
Expected CNA Staffing Hours per Resident per Day
2.45765
Expected LPN Staffing Hours per Resident per Day
0.62351
Expected RN Staffing Hours per Resident per Day
1.20737
Expected Total Nurse Staffing Hours per Resident per Day
4.28853
Adjusted CNA Staffing Hours per Resident per Day
2.36673
Adjusted LPN Staffing Hours per Resident per Day
1.73311
Adjusted RN Staffing Hours per Resident per Day
0.32886
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95134
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-11-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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