Oak Grove Health Care Center - Rutherfordton Nursing Home
General Information
UPDATEFederal Provider Number
345464
Provider Name
OAK GROVE HEALTH CARE CENTER
Provider Address
518 OLD US HIGHWAY 221
RUTHERFORDTON, NC 28139
RUTHERFORDTON, NC 28139
Provider Phone Number
(828) 287-7655
Provider SSA County
800
Provider County Name
Rutherford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK GROVE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-08
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22281
Reported LPN Staffing Hours per Resident per Day
1.13333
Reported RN Staffing Hours per Resident per Day
0.62105
Reported Licensed Staffing Hours per Resident per Day
1.75439
Reported Total Nurse Staffing Hours per Resident per Day
3.97719
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20351
Expected CNA Staffing Hours per Resident per Day
2.49099
Expected LPN Staffing Hours per Resident per Day
0.74233
Expected RN Staffing Hours per Resident per Day
1.42119
Expected Total Nurse Staffing Hours per Resident per Day
4.65450
Adjusted CNA Staffing Hours per Resident per Day
2.18953
Adjusted LPN Staffing Hours per Resident per Day
1.26719
Adjusted RN Staffing Hours per Resident per Day
0.32652
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44433
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-23
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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