Maple Grove Health And Rehabilitation Center - Greensboro Nursing Home
General Information
UPDATEFederal Provider Number
345448
Provider Name
MAPLE GROVE HEALTH AND REHABILITATION CENTER
Provider Address
308 WEST MEADOWVIEW ROAD
GREENSBORO, NC 27406
GREENSBORO, NC 27406
Provider Phone Number
(336) 230-0534
Provider SSA County
400
Provider County Name
Guilford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SNOWSHOE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.17045
Reported LPN Staffing Hours per Resident per Day
0.72472
Reported RN Staffing Hours per Resident per Day
0.31903
Reported Licensed Staffing Hours per Resident per Day
1.04375
Reported Total Nurse Staffing Hours per Resident per Day
4.21420
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09063
Expected CNA Staffing Hours per Resident per Day
2.46784
Expected LPN Staffing Hours per Resident per Day
0.71515
Expected RN Staffing Hours per Resident per Day
1.26641
Expected Total Nurse Staffing Hours per Resident per Day
4.44940
Adjusted CNA Staffing Hours per Resident per Day
3.15229
Adjusted LPN Staffing Hours per Resident per Day
0.84110
Adjusted RN Staffing Hours per Resident per Day
0.18823
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81782
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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