Peak Resources-cherryville - Cherryville Nursing Home
General Information
UPDATEFederal Provider Number
345395
Provider Name
PEAK RESOURCES-CHERRYVILLE
Provider Address
7615 DALLAS CHERRYVILLE HIGHWAY
CHERRYVILLE, NC 28021
CHERRYVILLE, NC 28021
Provider Phone Number
(704) 435-6029
Provider SSA County
350
Provider County Name
Gaston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTURY CARE OF CHERRYVILLE, INC
Date First Approved to Provide Medicare and Medicaid services
1991-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.65313
Reported LPN Staffing Hours per Resident per Day
0.99375
Reported RN Staffing Hours per Resident per Day
1.31875
Reported Licensed Staffing Hours per Resident per Day
2.31250
Reported Total Nurse Staffing Hours per Resident per Day
5.96563
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31875
Expected CNA Staffing Hours per Resident per Day
2.52948
Expected LPN Staffing Hours per Resident per Day
0.73831
Expected RN Staffing Hours per Resident per Day
1.38668
Expected Total Nurse Staffing Hours per Resident per Day
4.65447
Adjusted CNA Staffing Hours per Resident per Day
3.54369
Adjusted LPN Staffing Hours per Resident per Day
1.11716
Adjusted RN Staffing Hours per Resident per Day
0.71060
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16640
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2011-12-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.66700
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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