Our Community Hospital - Scotland Neck Nursing Home

General Information

UPDATE
Federal Provider Number
345431
Provider Name
OUR COMMUNITY HOSPITAL
Provider Address
921 JUNIOR HIGH SCHOOL ROAD
SCOTLAND NECK, NC 27874
Provider Phone Number
(252) 826-4144
Provider SSA County
410
Provider County Name
Halifax
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
60
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-03-11
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29886
Reported LPN Staffing Hours per Resident per Day
0.64318
Reported RN Staffing Hours per Resident per Day
0.67500
Reported Licensed Staffing Hours per Resident per Day
1.31818
Reported Total Nurse Staffing Hours per Resident per Day
3.61704
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.29275
Expected LPN Staffing Hours per Resident per Day
0.62779
Expected RN Staffing Hours per Resident per Day
0.94416
Expected Total Nurse Staffing Hours per Resident per Day
3.86471
Adjusted CNA Staffing Hours per Resident per Day
2.46023
Adjusted LPN Staffing Hours per Resident per Day
0.85034
Adjusted RN Staffing Hours per Resident per Day
0.53419
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77258
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
42
Cycle 1 Total Health Score
126
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
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
0
Total Weighted Health Survey Score
68.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
10790
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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