Longleaf Neuro-medical Treatment Center - Wilson Nursing Home

General Information

UPDATE
Federal Provider Number
345192
Provider Name
LONGLEAF NEURO-MEDICAL TREATMENT CENTER
Provider Address
4761 WARD BOULEVARD
WILSON, NC 27893
Provider Phone Number
(252) 399-2112
Provider SSA County
970
Provider County Name
Wilson
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
248
Number of Residents in Certified Beds
207
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1979-01-08
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
5
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
4.95894
Reported LPN Staffing Hours per Resident per Day
0.61812
Reported RN Staffing Hours per Resident per Day
1.63502
Reported Licensed Staffing Hours per Resident per Day
2.25314
Reported Total Nurse Staffing Hours per Resident per Day
7.21208
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00990
Expected CNA Staffing Hours per Resident per Day
2.54977
Expected LPN Staffing Hours per Resident per Day
0.59896
Expected RN Staffing Hours per Resident per Day
0.74558
Expected Total Nurse Staffing Hours per Resident per Day
3.89432
Adjusted CNA Staffing Hours per Resident per Day
4.77209
Adjusted LPN Staffing Hours per Resident per Day
0.85655
Adjusted RN Staffing Hours per Resident per Day
1.63858
Adjusted Total Nurse Staffing Hours per Resident per Day
7.46503
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
16
Cycle 1 Standard Survey Health Date
2015-01-30
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
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
2013-12-05
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
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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