Five Oaks Manor - Concord Nursing Home
General Information
UPDATEFederal Provider Number
345186
Provider Name
FIVE OAKS MANOR
Provider Address
413 WINECOFF SCHOOL ROAD
CONCORD, NC 28027
CONCORD, NC 28027
Provider Phone Number
(704) 788-2131
Provider SSA County
120
Provider County Name
Cabarrus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE OAKS MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
1.73112
Reported LPN Staffing Hours per Resident per Day
0.64895
Reported RN Staffing Hours per Resident per Day
0.44930
Reported Licensed Staffing Hours per Resident per Day
1.09825
Reported Total Nurse Staffing Hours per Resident per Day
2.82937
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09021
Expected CNA Staffing Hours per Resident per Day
2.37555
Expected LPN Staffing Hours per Resident per Day
0.63726
Expected RN Staffing Hours per Resident per Day
1.19154
Expected Total Nurse Staffing Hours per Resident per Day
4.20435
Adjusted CNA Staffing Hours per Resident per Day
1.78807
Adjusted LPN Staffing Hours per Resident per Day
0.84522
Adjusted RN Staffing Hours per Resident per Day
0.28175
Adjusted Total Nurse Staffing Hours per Resident per Day
2.71264
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
306
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
306
Total Weighted Health Survey Score
71.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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