Kindred Nursing & Rehabilitation-henderson - Henderson Nursing Home
General Information
UPDATEFederal Provider Number
345344
Provider Name
KINDRED NURSING & REHABILITATION-HENDERSON
Provider Address
280 SOUTH BECKFORD DRIVE
HENDERSON, NC 27536
HENDERSON, NC 27536
Provider Phone Number
(252) 438-6141
Provider SSA County
900
Provider County Name
Vance
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS EAST LLC
Date First Approved to Provide Medicare and Medicaid services
1991-01-08
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.08750
Reported LPN Staffing Hours per Resident per Day
0.81875
Reported RN Staffing Hours per Resident per Day
0.68611
Reported Licensed Staffing Hours per Resident per Day
1.50486
Reported Total Nurse Staffing Hours per Resident per Day
3.59236
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11389
Expected CNA Staffing Hours per Resident per Day
2.43397
Expected LPN Staffing Hours per Resident per Day
0.65132
Expected RN Staffing Hours per Resident per Day
1.14125
Expected Total Nurse Staffing Hours per Resident per Day
4.22654
Adjusted CNA Staffing Hours per Resident per Day
2.10442
Adjusted LPN Staffing Hours per Resident per Day
1.04335
Adjusted RN Staffing Hours per Resident per Day
0.44921
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42607
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
8
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
2.66700
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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