Mountain Trace Rehabilitation & Nursing Center - Sylva Nursing Home
General Information
UPDATEFederal Provider Number
345302
Provider Name
MOUNTAIN TRACE REHABILITATION & NURSING CENTER
Provider Address
417 MOUNTAIN TRACE ROAD
SYLVA, NC 28779
SYLVA, NC 28779
Provider Phone Number
(828) 631-1600
Provider SSA County
490
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-05-10
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
1
QM Rating Footnote
Staffing Rating
2
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
2.21111
Reported LPN Staffing Hours per Resident per Day
0.66181
Reported RN Staffing Hours per Resident per Day
0.63750
Reported Licensed Staffing Hours per Resident per Day
1.29931
Reported Total Nurse Staffing Hours per Resident per Day
3.51042
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05972
Expected CNA Staffing Hours per Resident per Day
2.66950
Expected LPN Staffing Hours per Resident per Day
0.76964
Expected RN Staffing Hours per Resident per Day
1.18736
Expected Total Nurse Staffing Hours per Resident per Day
4.62650
Adjusted CNA Staffing Hours per Resident per Day
2.03236
Adjusted LPN Staffing Hours per Resident per Day
0.71371
Adjusted RN Staffing Hours per Resident per Day
0.40118
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05850
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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