North Carolina Nursing Homes >> Forest City Nursing Homes >> Forest City Health And Rehabilitation Center

Forest City Health And Rehabilitation Center - Forest City Nursing Home

General Information

UPDATE
Federal Provider Number
345314
Provider Name
FOREST CITY HEALTH AND REHABILITATION CENTER
Provider Address
830 BETHANY CHURCH ROAD
FOREST CITY, NC 28043
Provider Phone Number
8282452852
Provider SSA County
800
Provider County Name
Rutherford
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST CITY OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1990-04-06
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99176
Reported LPN Staffing Hours per Resident per Day
0.92412
Reported RN Staffing Hours per Resident per Day
0.62059
Reported Licensed Staffing Hours per Resident per Day
1.54471
Reported Total Nurse Staffing Hours per Resident per Day
3.53647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00647
Expected CNA Staffing Hours per Resident per Day
2.52341
Expected LPN Staffing Hours per Resident per Day
0.59080
Expected RN Staffing Hours per Resident per Day
0.93813
Expected Total Nurse Staffing Hours per Resident per Day
4.05234
Adjusted CNA Staffing Hours per Resident per Day
1.93674
Adjusted LPN Staffing Hours per Resident per Day
1.29826
Adjusted RN Staffing Hours per Resident per Day
0.49429
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51776
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
394
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
197
Cycle 1 Total Health Score
591
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
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
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
298.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
71728
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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