Forrest Oakes Healthcare Center - Albemarle Nursing Home
General Information
UPDATEFederal Provider Number
345442
Provider Name
FORREST OAKES HEALTHCARE CENTER
Provider Address
620 HEATHWOOD DRIVE
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
Provider Phone Number
(704) 983-2686
Provider SSA County
830
Provider County Name
Stanly
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORREST OAKES HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.50370
Reported LPN Staffing Hours per Resident per Day
1.10741
Reported RN Staffing Hours per Resident per Day
0.77222
Reported Licensed Staffing Hours per Resident per Day
1.87963
Reported Total Nurse Staffing Hours per Resident per Day
4.38333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.33388
Expected LPN Staffing Hours per Resident per Day
0.59104
Expected RN Staffing Hours per Resident per Day
0.97077
Expected Total Nurse Staffing Hours per Resident per Day
3.89569
Adjusted CNA Staffing Hours per Resident per Day
2.63224
Adjusted LPN Staffing Hours per Resident per Day
1.55514
Adjusted RN Staffing Hours per Resident per Day
0.59438
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53547
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
364
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
364
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
20
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
148.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
172763
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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