Greenhaven Health And Rehabilitation Center - Greensboro Nursing Home
General Information
UPDATEFederal Provider Number
345132
Provider Name
GREENHAVEN HEALTH AND REHABILITATION CENTER
Provider Address
801 GREENHAVEN DRIVE
GREENSBORO, NC 27406
GREENSBORO, NC 27406
Provider Phone Number
(336) 292-8371
Provider SSA County
400
Provider County Name
Guilford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SNOWSHOE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.57197
Reported LPN Staffing Hours per Resident per Day
1.09697
Reported RN Staffing Hours per Resident per Day
0.40758
Reported Licensed Staffing Hours per Resident per Day
1.50455
Reported Total Nurse Staffing Hours per Resident per Day
4.07652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14470
Expected CNA Staffing Hours per Resident per Day
2.45880
Expected LPN Staffing Hours per Resident per Day
0.65184
Expected RN Staffing Hours per Resident per Day
1.27482
Expected Total Nurse Staffing Hours per Resident per Day
4.38546
Adjusted CNA Staffing Hours per Resident per Day
2.56663
Adjusted LPN Staffing Hours per Resident per Day
1.39678
Adjusted RN Staffing Hours per Resident per Day
0.23889
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74693
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
79
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
79
Total Weighted Health Survey Score
43.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
2
Total Amount of Fines in Dollars
22328
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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