Greendale Forest Nursing And Rehabilitation Center - Snow Hill Nursing Home
General Information
UPDATEFederal Provider Number
345366
Provider Name
GREENDALE FOREST NURSING AND REHABILITATION CENTER
Provider Address
1304 SE SECOND STREET
SNOW HILL, NC 28580
SNOW HILL, NC 28580
Provider Phone Number
2527478126
Provider SSA County
390
Provider County Name
Greene
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVER NEUSE GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-13
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.07830
Reported LPN Staffing Hours per Resident per Day
1.02311
Reported RN Staffing Hours per Resident per Day
0.63443
Reported Licensed Staffing Hours per Resident per Day
1.65755
Reported Total Nurse Staffing Hours per Resident per Day
4.73584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05802
Expected CNA Staffing Hours per Resident per Day
2.49565
Expected LPN Staffing Hours per Resident per Day
0.72084
Expected RN Staffing Hours per Resident per Day
1.25161
Expected Total Nurse Staffing Hours per Resident per Day
4.46809
Adjusted CNA Staffing Hours per Resident per Day
3.02656
Adjusted LPN Staffing Hours per Resident per Day
1.17805
Adjusted RN Staffing Hours per Resident per Day
0.37875
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27245
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
2014-09-05
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-29
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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