Peak Resources - Charlotte - Charlotte Nursing Home
General Information
UPDATEFederal Provider Number
345013
Provider Name
PEAK RESOURCES - CHARLOTTE
Provider Address
3223 CENTRAL AVENUE
CHARLOTTE, NC 28205
CHARLOTTE, NC 28205
Provider Phone Number
(704) 749-1100
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
142
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK VILLAGE REHAB AND HEALTH, INC.
Date First Approved to Provide Medicare and Medicaid services
1968-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.50382
Reported LPN Staffing Hours per Resident per Day
0.85229
Reported RN Staffing Hours per Resident per Day
1.03435
Reported Licensed Staffing Hours per Resident per Day
1.88664
Reported Total Nurse Staffing Hours per Resident per Day
4.39046
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13740
Expected CNA Staffing Hours per Resident per Day
2.48184
Expected LPN Staffing Hours per Resident per Day
0.80649
Expected RN Staffing Hours per Resident per Day
1.40340
Expected Total Nurse Staffing Hours per Resident per Day
4.69173
Adjusted CNA Staffing Hours per Resident per Day
2.47543
Adjusted LPN Staffing Hours per Resident per Day
0.87713
Adjusted RN Staffing Hours per Resident per Day
0.55071
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77206
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-19
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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