North Carolina Nursing Homes >> Burgaw Nursing Homes >> Pender Memorial Hosp Snf

Pender Memorial Hosp Snf - Burgaw Nursing Home

General Information

UPDATE
Federal Provider Number
345245
Provider Name
PENDER MEMORIAL HOSP SNF
Provider Address
507 FREMONT STREET
BURGAW, NC 28425
Provider Phone Number
(910) 259-5451
Provider SSA County
700
Provider County Name
Pender
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
43
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PENDER MEMORIAL HOSPITAL INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1985-12-04
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.30135
Reported LPN Staffing Hours per Resident per Day
1.23514
Reported RN Staffing Hours per Resident per Day
0.74189
Reported Licensed Staffing Hours per Resident per Day
1.97703
Reported Total Nurse Staffing Hours per Resident per Day
4.27838
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14054
Expected CNA Staffing Hours per Resident per Day
2.48060
Expected LPN Staffing Hours per Resident per Day
0.74252
Expected RN Staffing Hours per Resident per Day
1.11911
Expected Total Nurse Staffing Hours per Resident per Day
4.34223
Adjusted CNA Staffing Hours per Resident per Day
2.27639
Adjusted LPN Staffing Hours per Resident per Day
1.38067
Adjusted RN Staffing Hours per Resident per Day
0.49534
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97163
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
12
Cycle 1 Standard Survey Health Date
2014-05-21
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
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
2013-06-12
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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