Liberty Commons Rehabilitation Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
345468
Provider Name
LIBERTY COMMONS REHABILITATION CENTER
Provider Address
121 RACINE DRIVE
WILMINGTON, NC 28403
WILMINGTON, NC 28403
Provider Phone Number
(910) 452-4070
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY COMMONS NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-11-18
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86375
Reported LPN Staffing Hours per Resident per Day
0.61000
Reported RN Staffing Hours per Resident per Day
0.87688
Reported Licensed Staffing Hours per Resident per Day
1.48688
Reported Total Nurse Staffing Hours per Resident per Day
3.35063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10563
Expected CNA Staffing Hours per Resident per Day
2.36316
Expected LPN Staffing Hours per Resident per Day
0.65087
Expected RN Staffing Hours per Resident per Day
1.14471
Expected Total Nurse Staffing Hours per Resident per Day
4.15874
Adjusted CNA Staffing Hours per Resident per Day
1.93516
Adjusted LPN Staffing Hours per Resident per Day
0.77788
Adjusted RN Staffing Hours per Resident per Day
0.57238
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24763
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
10000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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