Peak Resources - Shelby - Shelby Nursing Home
General Information
UPDATEFederal Provider Number
345229
Provider Name
PEAK RESOURCES - SHELBY
Provider Address
1101 NORTH MORGAN STREET
SHELBY, NC 28150
SHELBY, NC 28150
Provider Phone Number
(704) 482-5396
Provider SSA County
220
Provider County Name
Cleveland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTURY CARE OF SHELBY
Date First Approved to Provide Medicare and Medicaid services
1982-10-06
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46011
Reported LPN Staffing Hours per Resident per Day
0.63090
Reported RN Staffing Hours per Resident per Day
0.82921
Reported Licensed Staffing Hours per Resident per Day
1.46011
Reported Total Nurse Staffing Hours per Resident per Day
3.92022
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.59881
Expected LPN Staffing Hours per Resident per Day
0.81603
Expected RN Staffing Hours per Resident per Day
1.37626
Expected Total Nurse Staffing Hours per Resident per Day
4.79110
Adjusted CNA Staffing Hours per Resident per Day
2.32274
Adjusted LPN Staffing Hours per Resident per Day
0.64170
Adjusted RN Staffing Hours per Resident per Day
0.45020
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29820
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
211840
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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