Mecklenburg Health & Rehabilitation Center - Charlotte Nursing Home

General Information

UPDATE
Federal Provider Number
345471
Provider Name
MECKLENBURG HEALTH & REHABILITATION CENTER
Provider Address
2415 SANDY PORTER ROAD
CHARLOTTE, NC 28273
Provider Phone Number
(704) 583-0430
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MECKLENBURG HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-03-21
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.13393
Reported LPN Staffing Hours per Resident per Day
1.12679
Reported RN Staffing Hours per Resident per Day
0.69940
Reported Licensed Staffing Hours per Resident per Day
1.82619
Reported Total Nurse Staffing Hours per Resident per Day
3.96012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05714
Expected CNA Staffing Hours per Resident per Day
2.38507
Expected LPN Staffing Hours per Resident per Day
0.61840
Expected RN Staffing Hours per Resident per Day
0.99814
Expected Total Nurse Staffing Hours per Resident per Day
4.00162
Adjusted CNA Staffing Hours per Resident per Day
2.19533
Adjusted LPN Staffing Hours per Resident per Day
1.51234
Adjusted RN Staffing Hours per Resident per Day
0.52356
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98910
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
8
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
79
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
79
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
32.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
34320
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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