Kindred Transitional Care & Rehab-elizabeth City - Elizabeth City Nursing Home
General Information
UPDATEFederal Provider Number
345184
Provider Name
KINDRED TRANSITIONAL CARE & REHAB-ELIZABETH CITY
Provider Address
901 SOUTH HALSTEAD BOULEVARD
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
Provider Phone Number
2523380137
Provider SSA County
690
Provider County Name
Pasquotank
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
83
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
1978-08-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27229
Reported LPN Staffing Hours per Resident per Day
0.84518
Reported RN Staffing Hours per Resident per Day
0.83193
Reported Licensed Staffing Hours per Resident per Day
1.67711
Reported Total Nurse Staffing Hours per Resident per Day
3.94940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07410
Expected CNA Staffing Hours per Resident per Day
2.39658
Expected LPN Staffing Hours per Resident per Day
0.66551
Expected RN Staffing Hours per Resident per Day
1.11916
Expected Total Nurse Staffing Hours per Resident per Day
4.18124
Adjusted CNA Staffing Hours per Resident per Day
2.32645
Adjusted LPN Staffing Hours per Resident per Day
1.05409
Adjusted RN Staffing Hours per Resident per Day
0.55543
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80739
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-06
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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
W R Winslow Memorial Home
1075 Us Highway 17 South |
ELIZABETH CITY NC 27909 | 4.7 miles away
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