Liberty Commons Nsg & Reh Rowa - Salisbury Nursing Home
General Information
UPDATEFederal Provider Number
345503
Provider Name
LIBERTY COMMONS NSG & REH ROWA
Provider Address
4412 SOUTH MAIN STREET
SALISBURY, NC 28147
SALISBURY, NC 28147
Provider Phone Number
(704) 637-3040
Provider SSA County
790
Provider County Name
Rowan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
83
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
2000-05-31
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
5
QM Rating Footnote
Staffing Rating
2
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
1.77590
Reported LPN Staffing Hours per Resident per Day
0.98253
Reported RN Staffing Hours per Resident per Day
0.59277
Reported Licensed Staffing Hours per Resident per Day
1.57530
Reported Total Nurse Staffing Hours per Resident per Day
3.35120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02771
Expected CNA Staffing Hours per Resident per Day
2.52328
Expected LPN Staffing Hours per Resident per Day
0.62792
Expected RN Staffing Hours per Resident per Day
1.05944
Expected Total Nurse Staffing Hours per Resident per Day
4.21063
Adjusted CNA Staffing Hours per Resident per Day
1.72693
Adjusted LPN Staffing Hours per Resident per Day
1.29874
Adjusted RN Staffing Hours per Resident per Day
0.41807
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20815
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
2015-04-01
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
14788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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