Piedmont Crossing - Thomasville Nursing Home
General Information
UPDATEFederal Provider Number
345310
Provider Name
PIEDMONT CROSSING
Provider Address
100 HEDRICK DRIVE
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
Provider Phone Number
(336) 472-2017
Provider SSA County
280
Provider County Name
Davidson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
114
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED CHURCH HOMES AND SERVICES
Date First Approved to Provide Medicare and Medicaid services
1989-11-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.22981
Reported LPN Staffing Hours per Resident per Day
0.66971
Reported RN Staffing Hours per Resident per Day
0.78750
Reported Licensed Staffing Hours per Resident per Day
1.45721
Reported Total Nurse Staffing Hours per Resident per Day
4.68702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02933
Expected CNA Staffing Hours per Resident per Day
2.45747
Expected LPN Staffing Hours per Resident per Day
0.64314
Expected RN Staffing Hours per Resident per Day
1.09848
Expected Total Nurse Staffing Hours per Resident per Day
4.19909
Adjusted CNA Staffing Hours per Resident per Day
3.22486
Adjusted LPN Staffing Hours per Resident per Day
0.86429
Adjusted RN Staffing Hours per Resident per Day
0.53567
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49929
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
79
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
79
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
39.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
82140
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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