Edgewood Place At The Village At Brookwood - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
345091
Provider Name
EDGEWOOD PLACE AT THE VILLAGE AT BROOKWOOD
Provider Address
1820 BROOKWOOD AVENUE
BURLINGTON, NC 27215
BURLINGTON, NC 27215
Provider Phone Number
(336) 570-8250
Provider SSA County
0
Provider County Name
Alamance
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALAMANCE EXTENDED CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.51067
Reported LPN Staffing Hours per Resident per Day
0.94867
Reported RN Staffing Hours per Resident per Day
1.08933
Reported Licensed Staffing Hours per Resident per Day
2.03800
Reported Total Nurse Staffing Hours per Resident per Day
4.54867
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28600
Expected CNA Staffing Hours per Resident per Day
2.43021
Expected LPN Staffing Hours per Resident per Day
0.62848
Expected RN Staffing Hours per Resident per Day
1.12811
Expected Total Nurse Staffing Hours per Resident per Day
4.18680
Adjusted CNA Staffing Hours per Resident per Day
2.53494
Adjusted LPN Staffing Hours per Resident per Day
1.25286
Adjusted RN Staffing Hours per Resident per Day
0.72152
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37930
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-11-20
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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