Kingswood Nursing Center - Aberdeen Nursing Home
General Information
UPDATEFederal Provider Number
345509
Provider Name
KINGSWOOD NURSING CENTER
Provider Address
915 PEE DEE ROAD
ABERDEEN, NC 28315
ABERDEEN, NC 28315
Provider Phone Number
(910) 944-8999
Provider SSA County
620
Provider County Name
Moore
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGSWOOD NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2000-12-07
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.65765
Reported LPN Staffing Hours per Resident per Day
0.92235
Reported RN Staffing Hours per Resident per Day
0.44353
Reported Licensed Staffing Hours per Resident per Day
1.36588
Reported Total Nurse Staffing Hours per Resident per Day
4.02353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07294
Expected CNA Staffing Hours per Resident per Day
2.35745
Expected LPN Staffing Hours per Resident per Day
0.54929
Expected RN Staffing Hours per Resident per Day
0.83408
Expected Total Nurse Staffing Hours per Resident per Day
3.74081
Adjusted CNA Staffing Hours per Resident per Day
2.76616
Adjusted LPN Staffing Hours per Resident per Day
1.39372
Adjusted RN Staffing Hours per Resident per Day
0.39733
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33554
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
361
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
361
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
204.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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