Pine Ridge Health And Rehabilitation Center - Thomasville Nursing Home

General Information

UPDATE
Federal Provider Number
345144
Provider Name
PINE RIDGE HEALTH AND REHABILITATION CENTER
Provider Address
706 PINEYWOOD ROAD
THOMASVILLE, NC 27360
Provider Phone Number
(336) 475-9116
Provider SSA County
280
Provider County Name
Davidson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRUCE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-04-16
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.29787
Reported LPN Staffing Hours per Resident per Day
0.36418
Reported RN Staffing Hours per Resident per Day
0.84645
Reported Licensed Staffing Hours per Resident per Day
1.21064
Reported Total Nurse Staffing Hours per Resident per Day
3.50850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08085
Expected CNA Staffing Hours per Resident per Day
2.74443
Expected LPN Staffing Hours per Resident per Day
0.67027
Expected RN Staffing Hours per Resident per Day
1.05709
Expected Total Nurse Staffing Hours per Resident per Day
4.47179
Adjusted CNA Staffing Hours per Resident per Day
2.05445
Adjusted LPN Staffing Hours per Resident per Day
0.45097
Adjusted RN Staffing Hours per Resident per Day
0.59831
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16258
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
75
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
75
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-15
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
42.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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