Elizabethtown Healthcare & Rehab Center - Elizabethtown Nursing Home
General Information
UPDATEFederal Provider Number
345210
Provider Name
ELIZABETHTOWN HEALTHCARE & REHAB CENTER
Provider Address
208 MERCER ROAD
ELIZABETHTOWN, NC 28337
ELIZABETHTOWN, NC 28337
Provider Phone Number
9108628181
Provider SSA County
80
Provider County Name
Bladen
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELIZABETHTOWN NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
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
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
2.26623
Reported LPN Staffing Hours per Resident per Day
0.82857
Reported RN Staffing Hours per Resident per Day
0.46494
Reported Licensed Staffing Hours per Resident per Day
1.29351
Reported Total Nurse Staffing Hours per Resident per Day
3.55974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07403
Expected CNA Staffing Hours per Resident per Day
2.34580
Expected LPN Staffing Hours per Resident per Day
0.59345
Expected RN Staffing Hours per Resident per Day
0.95684
Expected Total Nurse Staffing Hours per Resident per Day
3.89609
Adjusted CNA Staffing Hours per Resident per Day
2.37047
Adjusted LPN Staffing Hours per Resident per Day
1.15884
Adjusted RN Staffing Hours per Resident per Day
0.36307
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68291
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
2014-11-06
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
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
2013-10-23
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
0
Cycle 3 Health Deficiency Score
95
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
95
Total Weighted Health Survey Score
15.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Poplar Heights Center
804 South Popular Street |
ELIZABETHTOWN NC 28337 | 0.3 mile away
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