Mountain Ridge Health And Rehab - Black Mountain Nursing Home
General Information
UPDATEFederal Provider Number
345048
Provider Name
MOUNTAIN RIDGE HEALTH AND REHAB
Provider Address
611 OLD US HIGHWAY 70 EAST
BLACK MOUNTAIN, NC 28711
BLACK MOUNTAIN, NC 28711
Provider Phone Number
(828) 669-9991
Provider SSA County
100
Provider County Name
Buncombe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REGENCY CARE OF BLACK MOUNTAIN, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.71080
Reported LPN Staffing Hours per Resident per Day
1.02898
Reported RN Staffing Hours per Resident per Day
0.60511
Reported Licensed Staffing Hours per Resident per Day
1.63409
Reported Total Nurse Staffing Hours per Resident per Day
4.34489
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12670
Expected CNA Staffing Hours per Resident per Day
2.62257
Expected LPN Staffing Hours per Resident per Day
0.73361
Expected RN Staffing Hours per Resident per Day
1.11980
Expected Total Nurse Staffing Hours per Resident per Day
4.47599
Adjusted CNA Staffing Hours per Resident per Day
2.53624
Adjusted LPN Staffing Hours per Resident per Day
1.16417
Adjusted RN Staffing Hours per Resident per Day
0.40377
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91284
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
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
2013-03-08
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
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
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
4421
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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