Litchford Falls Healthcare - Raleigh Nursing Home
General Information
UPDATEFederal Provider Number
345499
Provider Name
LITCHFORD FALLS HEALTHCARE
Provider Address
8200 LITCHFORD ROAD
RALEIGH, NC 27615
RALEIGH, NC 27615
Provider Phone Number
(919) 878-7772
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE / RALEIGH, INC
Date First Approved to Provide Medicare and Medicaid services
2000-03-02
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.19611
Reported LPN Staffing Hours per Resident per Day
0.80389
Reported RN Staffing Hours per Resident per Day
0.50833
Reported Licensed Staffing Hours per Resident per Day
1.31222
Reported Total Nurse Staffing Hours per Resident per Day
3.50833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07722
Expected CNA Staffing Hours per Resident per Day
2.39050
Expected LPN Staffing Hours per Resident per Day
0.63930
Expected RN Staffing Hours per Resident per Day
1.13857
Expected Total Nurse Staffing Hours per Resident per Day
4.16836
Adjusted CNA Staffing Hours per Resident per Day
2.25417
Adjusted LPN Staffing Hours per Resident per Day
1.04369
Adjusted RN Staffing Hours per Resident per Day
0.33360
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39263
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-15
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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