Davis Health Care Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
345160
Provider Name
DAVIS HEALTH CARE CENTER
Provider Address
1011 PORTERS NECK ROAD
WILMINGTON, NC 28411
WILMINGTON, NC 28411
Provider Phone Number
(910) 686-7195
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
199
Number of Residents in Certified Beds
169
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNELIA NIXON DAVIS, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.78432
Reported LPN Staffing Hours per Resident per Day
0.89201
Reported RN Staffing Hours per Resident per Day
0.84024
Reported Licensed Staffing Hours per Resident per Day
1.73225
Reported Total Nurse Staffing Hours per Resident per Day
4.51657
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18935
Expected CNA Staffing Hours per Resident per Day
2.40300
Expected LPN Staffing Hours per Resident per Day
0.58951
Expected RN Staffing Hours per Resident per Day
0.97618
Expected Total Nurse Staffing Hours per Resident per Day
3.96869
Adjusted CNA Staffing Hours per Resident per Day
2.84307
Adjusted LPN Staffing Hours per Resident per Day
1.25590
Adjusted RN Staffing Hours per Resident per Day
0.64315
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58737
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-18
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
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
2013-04-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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