North Carolina Nursing Homes >> Madison Nursing Homes >> Jacob's Creek Nursing And Rehabilitation Center

Jacob's Creek Nursing And Rehabilitation Center - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
345050
Provider Name
JACOB'S CREEK NURSING AND REHABILITATION CENTER
Provider Address
1721 BALD HILL LOOP
MADISON, NC 27025
Provider Phone Number
(336) 548-9658
Provider SSA County
780
Provider County Name
Rockingham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANITE FALLS LTC, LLC
Date First Approved to Provide Medicare and Medicaid services
1968-05-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.89893
Reported LPN Staffing Hours per Resident per Day
0.59643
Reported RN Staffing Hours per Resident per Day
0.56643
Reported Licensed Staffing Hours per Resident per Day
1.16286
Reported Total Nurse Staffing Hours per Resident per Day
4.06179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08179
Expected CNA Staffing Hours per Resident per Day
2.48156
Expected LPN Staffing Hours per Resident per Day
0.66199
Expected RN Staffing Hours per Resident per Day
1.20331
Expected Total Nurse Staffing Hours per Resident per Day
4.34686
Adjusted CNA Staffing Hours per Resident per Day
2.86639
Adjusted LPN Staffing Hours per Resident per Day
0.74780
Adjusted RN Staffing Hours per Resident per Day
0.35173
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76655
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
4
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
2012-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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