Heartland Living & Rehab At The Moses H Cone Mem H - Greensboro Nursing Home
General Information
UPDATEFederal Provider Number
345391
Provider Name
HEARTLAND LIVING & REHAB AT THE MOSES H CONE MEM H
Provider Address
1131 NORTH CHURCH STREET
GREENSBORO, NC 27401
GREENSBORO, NC 27401
Provider Phone Number
(336) 358-5100
Provider SSA County
400
Provider County Name
Guilford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF GREENSBORO, INC
Date First Approved to Provide Medicare and Medicaid services
1991-07-11
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
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90859
Reported LPN Staffing Hours per Resident per Day
0.63990
Reported RN Staffing Hours per Resident per Day
0.51414
Reported Licensed Staffing Hours per Resident per Day
1.15404
Reported Total Nurse Staffing Hours per Resident per Day
4.06263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06010
Expected CNA Staffing Hours per Resident per Day
2.56575
Expected LPN Staffing Hours per Resident per Day
0.71359
Expected RN Staffing Hours per Resident per Day
1.23083
Expected Total Nurse Staffing Hours per Resident per Day
4.51017
Adjusted CNA Staffing Hours per Resident per Day
2.78157
Adjusted LPN Staffing Hours per Resident per Day
0.74429
Adjusted RN Staffing Hours per Resident per Day
0.31212
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63092
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
2340
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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