Peak Resources - Gastonia - Gastonia Nursing Home
General Information
UPDATEFederal Provider Number
345494
Provider Name
PEAK RESOURCES - GASTONIA
Provider Address
2780 X-RAY DRIVE
GASTONIA, NC 28054
GASTONIA, NC 28054
Provider Phone Number
(704) 861-0981
Provider SSA County
350
Provider County Name
Gaston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTURY CARE OF GASTONIA, INC
Date First Approved to Provide Medicare and Medicaid services
1999-06-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18478
Reported LPN Staffing Hours per Resident per Day
0.66087
Reported RN Staffing Hours per Resident per Day
0.57652
Reported Licensed Staffing Hours per Resident per Day
1.23739
Reported Total Nurse Staffing Hours per Resident per Day
3.42217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06087
Expected CNA Staffing Hours per Resident per Day
2.49610
Expected LPN Staffing Hours per Resident per Day
0.76820
Expected RN Staffing Hours per Resident per Day
1.37057
Expected Total Nurse Staffing Hours per Resident per Day
4.63486
Adjusted CNA Staffing Hours per Resident per Day
2.14767
Adjusted LPN Staffing Hours per Resident per Day
0.71404
Adjusted RN Staffing Hours per Resident per Day
0.31431
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97623
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-06
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
2800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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