Olde Knox Commons At The Villages Of Mecklenburg - Huntersville Nursing Home
General Information
UPDATEFederal Provider Number
345541
Provider Name
OLDE KNOX COMMONS AT THE VILLAGES OF MECKLENBURG
Provider Address
13825 HUNTON LANE
HUNTERSVILLE, NC 28078
HUNTERSVILLE, NC 28078
Provider Phone Number
7048972700
Provider SSA County
590
Provider County Name
Mecklenburg
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR CARE SERVICES MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-10-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29252
Reported LPN Staffing Hours per Resident per Day
1.33598
Reported RN Staffing Hours per Resident per Day
0.42897
Reported Licensed Staffing Hours per Resident per Day
1.76495
Reported Total Nurse Staffing Hours per Resident per Day
4.05747
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.56298
Expected LPN Staffing Hours per Resident per Day
0.73234
Expected RN Staffing Hours per Resident per Day
1.27377
Expected Total Nurse Staffing Hours per Resident per Day
4.56908
Adjusted CNA Staffing Hours per Resident per Day
2.19477
Adjusted LPN Staffing Hours per Resident per Day
1.51415
Adjusted RN Staffing Hours per Resident per Day
0.25164
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57955
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
2013-08-08
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
2
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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