Liberty Commons N&r Alamance - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
345496
Provider Name
LIBERTY COMMONS N&R ALAMANCE
Provider Address
791 BOONE STATION DRIVE
BURLINGTON, NC 27215
BURLINGTON, NC 27215
Provider Phone Number
(336) 586-9850
Provider SSA County
0
Provider County Name
Alamance
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-06
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.08889
Reported LPN Staffing Hours per Resident per Day
0.85062
Reported RN Staffing Hours per Resident per Day
0.50556
Reported Licensed Staffing Hours per Resident per Day
1.35617
Reported Total Nurse Staffing Hours per Resident per Day
3.44507
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07593
Expected CNA Staffing Hours per Resident per Day
2.45751
Expected LPN Staffing Hours per Resident per Day
0.64067
Expected RN Staffing Hours per Resident per Day
1.08806
Expected Total Nurse Staffing Hours per Resident per Day
4.18624
Adjusted CNA Staffing Hours per Resident per Day
2.08565
Adjusted LPN Staffing Hours per Resident per Day
1.10199
Adjusted RN Staffing Hours per Resident per Day
0.34718
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31723
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
13.33300
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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