Jesse Helms Nursing Center - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
345097
Provider Name
JESSE HELMS NURSING CENTER
Provider Address
1411 DOVE STREET
MONROE, NC 28111
MONROE, NC 28111
Provider Phone Number
(704) 283-3280
Provider SSA County
890
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
70
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
1973-06-18
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.10079
Reported LPN Staffing Hours per Resident per Day
0.64206
Reported RN Staffing Hours per Resident per Day
1.34683
Reported Licensed Staffing Hours per Resident per Day
1.98889
Reported Total Nurse Staffing Hours per Resident per Day
4.08968
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24365
Expected CNA Staffing Hours per Resident per Day
2.34262
Expected LPN Staffing Hours per Resident per Day
0.76589
Expected RN Staffing Hours per Resident per Day
1.23092
Expected Total Nurse Staffing Hours per Resident per Day
4.33943
Adjusted CNA Staffing Hours per Resident per Day
2.20040
Adjusted LPN Staffing Hours per Resident per Day
0.69580
Adjusted RN Staffing Hours per Resident per Day
0.81756
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79890
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
12
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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