Magnolia Estates Skilled Care - Spencer Nursing Home
General Information
UPDATEFederal Provider Number
345288
Provider Name
MAGNOLIA ESTATES SKILLED CARE
Provider Address
1404 S SALISBURY AVENUE
SPENCER, NC 28159
SPENCER, NC 28159
Provider Phone Number
(704) 633-3892
Provider SSA County
790
Provider County Name
Rowan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRC OF SALISBURY, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-08-11
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.69333
Reported LPN Staffing Hours per Resident per Day
0.66333
Reported RN Staffing Hours per Resident per Day
0.46417
Reported Licensed Staffing Hours per Resident per Day
1.12750
Reported Total Nurse Staffing Hours per Resident per Day
2.82083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.53043
Expected LPN Staffing Hours per Resident per Day
0.57964
Expected RN Staffing Hours per Resident per Day
1.00165
Expected Total Nurse Staffing Hours per Resident per Day
4.11172
Adjusted CNA Staffing Hours per Resident per Day
1.64198
Adjusted LPN Staffing Hours per Resident per Day
0.94983
Adjusted RN Staffing Hours per Resident per Day
0.34626
Adjusted Total Nurse Staffing Hours per Resident per Day
2.76538
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
245
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
123
Cycle 1 Total Health Score
368
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-12-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-12-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
186.66700
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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