Life Care Center Of Banner Elk - Banner Elk Nursing Home
General Information
UPDATEFederal Provider Number
345203
Provider Name
LIFE CARE CENTER OF BANNER ELK
Provider Address
185 NORWOOD HOLLOW ROAD
BANNER ELK, NC 28604
BANNER ELK, NC 28604
Provider Phone Number
8288985136
Provider SSA County
50
Provider County Name
Avery
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.05190
Reported LPN Staffing Hours per Resident per Day
1.03481
Reported RN Staffing Hours per Resident per Day
0.52722
Reported Licensed Staffing Hours per Resident per Day
1.56203
Reported Total Nurse Staffing Hours per Resident per Day
3.61393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23228
Expected CNA Staffing Hours per Resident per Day
2.65479
Expected LPN Staffing Hours per Resident per Day
0.62680
Expected RN Staffing Hours per Resident per Day
0.95543
Expected Total Nurse Staffing Hours per Resident per Day
4.23703
Adjusted CNA Staffing Hours per Resident per Day
1.89647
Adjusted LPN Staffing Hours per Resident per Day
1.37027
Adjusted RN Staffing Hours per Resident per Day
0.41232
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43812
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-09-13
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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