Oak Forest Health And Rehabilitation - Winston-salem Nursing Home
General Information
UPDATEFederal Provider Number
345443
Provider Name
OAK FOREST HEALTH AND REHABILITATION
Provider Address
5680 WINDY HILL DRIVE
WINSTON-SALEM, NC 27105
WINSTON-SALEM, NC 27105
Provider Phone Number
(336) 776-5000
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK FOREST HEALTH AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-28
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.86622
Reported LPN Staffing Hours per Resident per Day
1.26014
Reported RN Staffing Hours per Resident per Day
0.73986
Reported Licensed Staffing Hours per Resident per Day
2.00000
Reported Total Nurse Staffing Hours per Resident per Day
4.86622
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10372
Expected CNA Staffing Hours per Resident per Day
2.58370
Expected LPN Staffing Hours per Resident per Day
0.82296
Expected RN Staffing Hours per Resident per Day
1.40261
Expected Total Nurse Staffing Hours per Resident per Day
4.80927
Adjusted CNA Staffing Hours per Resident per Day
2.72201
Adjusted LPN Staffing Hours per Resident per Day
1.27092
Adjusted RN Staffing Hours per Resident per Day
0.39414
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07864
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-21
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
12
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.66700
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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