J Arthur Dosher Mem Hosp - Southport Nursing Home
General Information
UPDATEFederal Provider Number
345504
Provider Name
J ARTHUR DOSHER MEM HOSP
Provider Address
924 N HOWE STREET
SOUTHPORT, NC 28461
SOUTHPORT, NC 28461
Provider Phone Number
9104573800
Provider SSA County
90
Provider County Name
Brunswick
Ownership Type
Government - Hospital district
Number of Certified Beds
64
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2000-08-08
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
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
3.55256
Reported LPN Staffing Hours per Resident per Day
1.31795
Reported RN Staffing Hours per Resident per Day
0.95128
Reported Licensed Staffing Hours per Resident per Day
2.26923
Reported Total Nurse Staffing Hours per Resident per Day
5.82179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14615
Expected CNA Staffing Hours per Resident per Day
2.42283
Expected LPN Staffing Hours per Resident per Day
0.51493
Expected RN Staffing Hours per Resident per Day
0.72463
Expected Total Nurse Staffing Hours per Resident per Day
3.66238
Adjusted CNA Staffing Hours per Resident per Day
3.59783
Adjusted LPN Staffing Hours per Resident per Day
2.12438
Adjusted RN Staffing Hours per Resident per Day
0.98092
Adjusted Total Nurse Staffing Hours per Resident per Day
6.40760
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
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
2012-08-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
Ocean Trail Healthcare & Rehab Center
630 Fodale Avenue |
SOUTHPORT NC 28461 | 0.2 mile away
Universal Health Care / Brunswick
1070 Old Ocean Highway |
BOLIVIA NC 28422 | 14.5 miles away
Brunswick Cove Nursing Center
1478 River Road |
WINNABOW NC 28479 | 17.8 miles away
Autumn Care Of Shallotte
237 Mulberry Street |
SHALLOTTE NC 28459 | 21.2 miles away
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