Northampton Nursing And Rehabilitation Center - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
345313
Provider Name
NORTHAMPTON NURSING AND REHABILITATION CENTER
Provider Address
HWY 305 NORTH
JACKSON, NC 27845
JACKSON, NC 27845
Provider Phone Number
(252) 534-0131
Provider SSA County
650
Provider County Name
Northampton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TAR RIVER LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-02-27
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
5
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
2.31587
Reported LPN Staffing Hours per Resident per Day
0.94524
Reported RN Staffing Hours per Resident per Day
0.58968
Reported Licensed Staffing Hours per Resident per Day
1.53492
Reported Total Nurse Staffing Hours per Resident per Day
3.85079
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04524
Expected CNA Staffing Hours per Resident per Day
2.77968
Expected LPN Staffing Hours per Resident per Day
0.70884
Expected RN Staffing Hours per Resident per Day
1.09861
Expected Total Nurse Staffing Hours per Resident per Day
4.58713
Adjusted CNA Staffing Hours per Resident per Day
2.04428
Adjusted LPN Staffing Hours per Resident per Day
1.10681
Adjusted RN Staffing Hours per Resident per Day
0.40106
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38385
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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Nursiong Homes Nearby
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