Homestead Hills - Winston-salem Nursing Home
General Information
UPDATEFederal Provider Number
345559
Provider Name
HOMESTEAD HILLS
Provider Address
2105 HOMESTEAD HILLS DRIVE
WINSTON-SALEM, NC 27103
WINSTON-SALEM, NC 27103
Provider Phone Number
(336) 659-0386
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
2013-07-24
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.44643
Reported LPN Staffing Hours per Resident per Day
1.19821
Reported RN Staffing Hours per Resident per Day
0.87679
Reported Licensed Staffing Hours per Resident per Day
2.07500
Reported Total Nurse Staffing Hours per Resident per Day
4.52143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.40893
Expected CNA Staffing Hours per Resident per Day
2.45541
Expected LPN Staffing Hours per Resident per Day
0.70559
Expected RN Staffing Hours per Resident per Day
1.42040
Expected Total Nurse Staffing Hours per Resident per Day
4.58140
Adjusted CNA Staffing Hours per Resident per Day
2.44473
Adjusted LPN Staffing Hours per Resident per Day
1.40948
Adjusted RN Staffing Hours per Resident per Day
0.46123
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97813
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
16
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.60000
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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