Croasdaile Village - Durham Nursing Home
General Information
UPDATEFederal Provider Number
345501
Provider Name
CROASDAILE VILLAGE
Provider Address
2600 CROASDAILE FARM
DURHAM, NC 27705
DURHAM, NC 27705
Provider Phone Number
(919) 384-2000
Provider SSA County
310
Provider County Name
Durham
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED METHODIST RETIREMENT HOMES INCORPORATED.
Date First Approved to Provide Medicare and Medicaid services
2000-01-03
Continuing Care Retirement Community
Y
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
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
3.18232
Reported LPN Staffing Hours per Resident per Day
1.46818
Reported RN Staffing Hours per Resident per Day
0.40859
Reported Licensed Staffing Hours per Resident per Day
1.87677
Reported Total Nurse Staffing Hours per Resident per Day
5.05909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20707
Expected CNA Staffing Hours per Resident per Day
2.58268
Expected LPN Staffing Hours per Resident per Day
0.60962
Expected RN Staffing Hours per Resident per Day
1.00363
Expected Total Nurse Staffing Hours per Resident per Day
4.19593
Adjusted CNA Staffing Hours per Resident per Day
3.02339
Adjusted LPN Staffing Hours per Resident per Day
1.99895
Adjusted RN Staffing Hours per Resident per Day
0.30419
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86012
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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