Mount Olive Center - Mount Olive Nursing Home
General Information
UPDATEFederal Provider Number
345126
Provider Name
MOUNT OLIVE CENTER
Provider Address
228 SMITH CHAPEL ROAD BOX 569
MOUNT OLIVE, NC 28365
MOUNT OLIVE, NC 28365
Provider Phone Number
(919) 658-9522
Provider SSA County
950
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE REGENCY - NORTH CAROLINA, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-05-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.78562
Reported LPN Staffing Hours per Resident per Day
0.67705
Reported RN Staffing Hours per Resident per Day
0.36438
Reported Licensed Staffing Hours per Resident per Day
1.04144
Reported Total Nurse Staffing Hours per Resident per Day
2.82705
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05719
Expected CNA Staffing Hours per Resident per Day
2.48749
Expected LPN Staffing Hours per Resident per Day
0.75200
Expected RN Staffing Hours per Resident per Day
1.26035
Expected Total Nurse Staffing Hours per Resident per Day
4.49984
Adjusted CNA Staffing Hours per Resident per Day
1.76136
Adjusted LPN Staffing Hours per Resident per Day
0.74728
Adjusted RN Staffing Hours per Resident per Day
0.21602
Adjusted Total Nurse Staffing Hours per Resident per Day
2.53244
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
48
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
Number of Fines
2
Total Amount of Fines in Dollars
10725
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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