North Carolina State Veterans Nursing Home Salisbu - Salisbury Nursing Home

General Information

UPDATE
Federal Provider Number
345531
Provider Name
NORTH CAROLINA STATE VETERANS NURSING HOME SALISBU
Provider Address
1601 BRENNER AVE, BUILDNG #10
SALISBURY, NC 28145
Provider Phone Number
7046384200
Provider SSA County
790
Provider County Name
Rowan
Ownership Type
Government - State
Number of Certified Beds
99
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NC DEPARTMENT OF ADMINISTRATION - NC DIVISION OF VETERANS AFFAIRS
Date First Approved to Provide Medicare and Medicaid services
2004-11-22
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
3
Health Inspection Rating Footnote
QM Rating
5
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
3.09421
Reported LPN Staffing Hours per Resident per Day
1.02368
Reported RN Staffing Hours per Resident per Day
0.82316
Reported Licensed Staffing Hours per Resident per Day
1.84684
Reported Total Nurse Staffing Hours per Resident per Day
4.94105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06526
Expected CNA Staffing Hours per Resident per Day
2.41616
Expected LPN Staffing Hours per Resident per Day
0.60793
Expected RN Staffing Hours per Resident per Day
0.96190
Expected Total Nurse Staffing Hours per Resident per Day
3.98599
Adjusted CNA Staffing Hours per Resident per Day
3.14229
Adjusted LPN Staffing Hours per Resident per Day
1.39761
Adjusted RN Staffing Hours per Resident per Day
0.63943
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99673
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
20
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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