Maryfield Nursing Home - High Point Nursing Home
General Information
UPDATEFederal Provider Number
345093
Provider Name
MARYFIELD NURSING HOME
Provider Address
1315 GREENSBORO ROAD
HIGH POINT, NC 27260
HIGH POINT, NC 27260
Provider Phone Number
3368862444
Provider SSA County
400
Provider County Name
Guilford
Ownership Type
Non profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYFIELD, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-07-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.38911
Reported LPN Staffing Hours per Resident per Day
0.88366
Reported RN Staffing Hours per Resident per Day
0.77723
Reported Licensed Staffing Hours per Resident per Day
1.66089
Reported Total Nurse Staffing Hours per Resident per Day
5.05000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05644
Expected CNA Staffing Hours per Resident per Day
2.47021
Expected LPN Staffing Hours per Resident per Day
0.57646
Expected RN Staffing Hours per Resident per Day
0.85970
Expected Total Nurse Staffing Hours per Resident per Day
3.90636
Adjusted CNA Staffing Hours per Resident per Day
3.36646
Adjusted LPN Staffing Hours per Resident per Day
1.27232
Adjusted RN Staffing Hours per Resident per Day
0.67552
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21100
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-05
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
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
2013-08-15
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
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
2012-05-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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