Pettigrew Rehabilitation Center - Durham Nursing Home
General Information
UPDATEFederal Provider Number
345053
Provider Name
PETTIGREW REHABILITATION CENTER
Provider Address
1515 W PETTIGREW STREET
DURHAM, NC 27705
DURHAM, NC 27705
Provider Phone Number
(919) 286-0751
Provider SSA County
310
Provider County Name
Durham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETTIGREW REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1969-01-19
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
3
QM Rating Footnote
Staffing Rating
3
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
2.37697
Reported LPN Staffing Hours per Resident per Day
0.27895
Reported RN Staffing Hours per Resident per Day
1.08026
Reported Licensed Staffing Hours per Resident per Day
1.35921
Reported Total Nurse Staffing Hours per Resident per Day
3.73618
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27434
Expected CNA Staffing Hours per Resident per Day
2.52021
Expected LPN Staffing Hours per Resident per Day
0.61703
Expected RN Staffing Hours per Resident per Day
1.04774
Expected Total Nurse Staffing Hours per Resident per Day
4.18497
Adjusted CNA Staffing Hours per Resident per Day
2.31424
Adjusted LPN Staffing Hours per Resident per Day
0.37523
Adjusted RN Staffing Hours per Resident per Day
0.77039
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59863
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-25
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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