Louisburg Nursing Center - Louisburg Nursing Home

General Information

UPDATE
Federal Provider Number
345358
Provider Name
LOUISBURG NURSING CENTER
Provider Address
202 SMOKETREE WAY
LOUISBURG, NC 27549
Provider Phone Number
(919) 496-2188
Provider SSA County
340
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOUISBURG NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-03-22
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.12500
Reported LPN Staffing Hours per Resident per Day
1.06333
Reported RN Staffing Hours per Resident per Day
0.43083
Reported Licensed Staffing Hours per Resident per Day
1.49417
Reported Total Nurse Staffing Hours per Resident per Day
4.61916
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08000
Expected CNA Staffing Hours per Resident per Day
2.52265
Expected LPN Staffing Hours per Resident per Day
0.59553
Expected RN Staffing Hours per Resident per Day
0.93122
Expected Total Nurse Staffing Hours per Resident per Day
4.04939
Adjusted CNA Staffing Hours per Resident per Day
3.03959
Adjusted LPN Staffing Hours per Resident per Day
1.48199
Adjusted RN Staffing Hours per Resident per Day
0.34569
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59806
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
2014-07-10
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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