Nc State Veterans Home-kinston - Kinston Nursing Home
General Information
UPDATEFederal Provider Number
345560
Provider Name
NC STATE VETERANS HOME-KINSTON
Provider Address
2150 HULL ROAD
KINSTON, NC 28504
KINSTON, NC 28504
Provider Phone Number
2529398000
Provider SSA County
530
Provider County Name
Lenoir
Ownership Type
Government - State
Number of Certified Beds
100
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NC DEPARTMENT OF ADMISTRATION, DIVISION OF VETERANS AFFAIRS
Date First Approved to Provide Medicare and Medicaid services
2013-08-08
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.69758
Reported LPN Staffing Hours per Resident per Day
0.65323
Reported RN Staffing Hours per Resident per Day
1.07500
Reported Licensed Staffing Hours per Resident per Day
1.72823
Reported Total Nurse Staffing Hours per Resident per Day
4.42581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09677
Expected CNA Staffing Hours per Resident per Day
2.38823
Expected LPN Staffing Hours per Resident per Day
0.59553
Expected RN Staffing Hours per Resident per Day
0.96653
Expected Total Nurse Staffing Hours per Resident per Day
3.95028
Adjusted CNA Staffing Hours per Resident per Day
2.77153
Adjusted LPN Staffing Hours per Resident per Day
0.91042
Adjusted RN Staffing Hours per Resident per Day
0.83106
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51613
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-08-08
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
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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
Nursiong Homes Nearby
Harmony Hall Nursing And Rehabilitation Center
312 Warren Avenue |
KINSTON NC 28502 | 2.3 miles away
Signature Healthcare Of Kinston
907 Cunningham Road |
KINSTON NC 28501 | 3.4 miles away
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