Greenfield Place - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
345377
Provider Name
GREENFIELD PLACE
Provider Address
2575 W 5TH STREET
GREENVILLE, NC 27834
GREENVILLE, NC 27834
Provider Phone Number
(252) 830-9100
Provider SSA County
730
Provider County Name
Pitt
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
130
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENFIELD PLACE, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-25
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
1
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
2.37865
Reported LPN Staffing Hours per Resident per Day
1.01011
Reported RN Staffing Hours per Resident per Day
0.58596
Reported Licensed Staffing Hours per Resident per Day
1.59607
Reported Total Nurse Staffing Hours per Resident per Day
3.97472
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.34505
Expected LPN Staffing Hours per Resident per Day
0.62278
Expected RN Staffing Hours per Resident per Day
1.14175
Expected Total Nurse Staffing Hours per Resident per Day
4.10958
Adjusted CNA Staffing Hours per Resident per Day
2.48886
Adjusted LPN Staffing Hours per Resident per Day
1.34620
Adjusted RN Staffing Hours per Resident per Day
0.38347
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89862
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
16
Cycle 2 Total Health Score
48
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
2013-01-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
10
Cycle 3 Total Health Score
30
Total Weighted Health Survey Score
51.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
15406
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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