Life Care Center Of Hendersonv - Hendersonville Nursing Home
General Information
UPDATEFederal Provider Number
345463
Provider Name
LIFE CARE CENTER OF HENDERSONV
Provider Address
400 THOMPSON STREET
HENDERSONVILLE, NC 28792
HENDERSONVILLE, NC 28792
Provider Phone Number
(828) 697-4348
Provider SSA County
440
Provider County Name
Henderson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDERSONVILLE MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-07-19
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
2.21985
Reported RN Staffing Hours per Resident per Day
1.07868
Reported Licensed Staffing Hours per Resident per Day
3.29853
Reported Total Nurse Staffing Hours per Resident per Day
3.29853
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24559
Expected CNA Staffing Hours per Resident per Day
2.57716
Expected LPN Staffing Hours per Resident per Day
0.66712
Expected RN Staffing Hours per Resident per Day
1.09605
Expected Total Nurse Staffing Hours per Resident per Day
4.34033
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
2.76183
Adjusted RN Staffing Hours per Resident per Day
0.73536
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06337
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
16
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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