Mooresville Center - Mooresville Nursing Home
General Information
UPDATEFederal Provider Number
345283
Provider Name
MOORESVILLE CENTER
Provider Address
550 GLENWOOD DRIVE
MOORESVILLE, NC 28115
MOORESVILLE, NC 28115
Provider Phone Number
(704) 664-7494
Provider SSA County
480
Provider County Name
Iredell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
550 GLENWOOD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1988-06-23
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16810
Reported LPN Staffing Hours per Resident per Day
1.10474
Reported RN Staffing Hours per Resident per Day
0.81250
Reported Licensed Staffing Hours per Resident per Day
1.91724
Reported Total Nurse Staffing Hours per Resident per Day
4.08534
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09052
Expected CNA Staffing Hours per Resident per Day
2.52021
Expected LPN Staffing Hours per Resident per Day
0.71730
Expected RN Staffing Hours per Resident per Day
1.29327
Expected Total Nurse Staffing Hours per Resident per Day
4.53078
Adjusted CNA Staffing Hours per Resident per Day
2.11089
Adjusted LPN Staffing Hours per Resident per Day
1.27831
Adjusted RN Staffing Hours per Resident per Day
0.46943
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63460
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-08-29
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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