Highland Farms - Black Mountain Nursing Home
General Information
UPDATEFederal Provider Number
345078
Provider Name
HIGHLAND FARMS
Provider Address
200 TABERNACLE ROAD
BLACK MOUNTAIN, NC 28711
BLACK MOUNTAIN, NC 28711
Provider Phone Number
(828) 669-6473
Provider SSA County
100
Provider County Name
Buncombe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GIVENS HIGHLAND FARMS LLC
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.26698
Reported LPN Staffing Hours per Resident per Day
1.10660
Reported RN Staffing Hours per Resident per Day
1.52830
Reported Licensed Staffing Hours per Resident per Day
2.63491
Reported Total Nurse Staffing Hours per Resident per Day
6.90188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33208
Expected CNA Staffing Hours per Resident per Day
2.66355
Expected LPN Staffing Hours per Resident per Day
0.66974
Expected RN Staffing Hours per Resident per Day
1.10917
Expected Total Nurse Staffing Hours per Resident per Day
4.44246
Adjusted CNA Staffing Hours per Resident per Day
3.93080
Adjusted LPN Staffing Hours per Resident per Day
1.37140
Adjusted RN Staffing Hours per Resident per Day
1.02955
Adjusted Total Nurse Staffing Hours per Resident per Day
6.26248
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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