Ocean Trail Healthcare & Rehab Center - Southport Nursing Home
General Information
UPDATEFederal Provider Number
345373
Provider Name
OCEAN TRAIL HEALTHCARE & REHAB CENTER
Provider Address
630 FODALE AVENUE
SOUTHPORT, NC 28461
SOUTHPORT, NC 28461
Provider Phone Number
9104579581
Provider SSA County
90
Provider County Name
Brunswick
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OCEAN TRAIL CONVALESCENT CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1991-05-31
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47330
Expected LPN Staffing Hours per Resident per Day
0.66617
Expected RN Staffing Hours per Resident per Day
1.08803
Expected Total Nurse Staffing Hours per Resident per Day
4.22750
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
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
2015-01-15
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
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
225
Cycle 2 Standard Health Survey Date
2014-02-26
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
77.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
56875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
J Arthur Dosher Mem Hosp
924 N Howe Street |
SOUTHPORT NC 28461 | 0.2 mile away
Universal Health Care / Brunswick
1070 Old Ocean Highway |
BOLIVIA NC 28422 | 14.8 miles away
Brunswick Cove Nursing Center
1478 River Road |
WINNABOW NC 28479 | 17.8 miles away
Autumn Care Of Shallotte
237 Mulberry Street |
SHALLOTTE NC 28459 | 21.5 miles away
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