Mountain Vista Health Park - Denton Nursing Home
General Information
UPDATEFederal Provider Number
345196
Provider Name
MOUNTAIN VISTA HEALTH PARK
Provider Address
106 MOUNTAIN VISTA ROAD
DENTON, NC 27239
DENTON, NC 27239
Provider Phone Number
(336) 859-2181
Provider SSA County
280
Provider County Name
Davidson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNTAIN VISTA HEALTH PARK, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-02-04
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.83644
Reported LPN Staffing Hours per Resident per Day
0.66525
Reported RN Staffing Hours per Resident per Day
0.88475
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
4.38644
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08220
Expected CNA Staffing Hours per Resident per Day
2.40495
Expected LPN Staffing Hours per Resident per Day
0.63271
Expected RN Staffing Hours per Resident per Day
1.02838
Expected Total Nurse Staffing Hours per Resident per Day
4.06604
Adjusted CNA Staffing Hours per Resident per Day
2.89394
Adjusted LPN Staffing Hours per Resident per Day
0.87268
Adjusted RN Staffing Hours per Resident per Day
0.64284
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34853
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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