Cumberland Nursing And Rehabilitation Center - Fayetteville Nursing Home

General Information

UPDATE
Federal Provider Number
345376
Provider Name
CUMBERLAND NURSING AND REHABILITATION CENTER
Provider Address
2461 LEGION ROAD
FAYETTEVILLE, NC 28306
Provider Phone Number
(910) 424-9417
Provider SSA County
250
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-13
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
1
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16000
Reported LPN Staffing Hours per Resident per Day
0.95048
Reported RN Staffing Hours per Resident per Day
0.31905
Reported Licensed Staffing Hours per Resident per Day
1.26952
Reported Total Nurse Staffing Hours per Resident per Day
3.42953
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10190
Expected CNA Staffing Hours per Resident per Day
2.53107
Expected LPN Staffing Hours per Resident per Day
0.73702
Expected RN Staffing Hours per Resident per Day
1.28057
Expected Total Nurse Staffing Hours per Resident per Day
4.54866
Adjusted CNA Staffing Hours per Resident per Day
2.09397
Adjusted LPN Staffing Hours per Resident per Day
1.07039
Adjusted RN Staffing Hours per Resident per Day
0.18616
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03916
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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