Hillside Nursing Center Of Wak - Wake Forest Nursing Home

General Information

UPDATE
Federal Provider Number
345417
Provider Name
HILLSIDE NURSING CENTER OF WAK
Provider Address
968 EAST WAIT AVENUE
WAKE FOREST, NC 27587
Provider Phone Number
(919) 556-4082
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSIDE NURSING CENTER OF WAKE FOREST, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-04-09
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
2
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
3.30556
Reported LPN Staffing Hours per Resident per Day
0.94444
Reported RN Staffing Hours per Resident per Day
0.53376
Reported Licensed Staffing Hours per Resident per Day
1.47821
Reported Total Nurse Staffing Hours per Resident per Day
4.78376
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15128
Expected CNA Staffing Hours per Resident per Day
2.37608
Expected LPN Staffing Hours per Resident per Day
0.60807
Expected RN Staffing Hours per Resident per Day
0.98009
Expected Total Nurse Staffing Hours per Resident per Day
3.96424
Adjusted CNA Staffing Hours per Resident per Day
3.41354
Adjusted LPN Staffing Hours per Resident per Day
1.28914
Adjusted RN Staffing Hours per Resident per Day
0.40693
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86420
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
195
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
195
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
77.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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