Pineville Rehabilitation And Living Ctr - Pineville Nursing Home
General Information
UPDATEFederal Provider Number
345415
Provider Name
PINEVILLE REHABILITATION AND LIVING CTR
Provider Address
1010 LAKEVIEW DRIVE
PINEVILLE, NC 28134
PINEVILLE, NC 28134
Provider Phone Number
(704) 889-2273
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINEVILLE REHABILITATION AND LIVING CENTER
Date First Approved to Provide Medicare and Medicaid services
1992-03-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92447
Reported LPN Staffing Hours per Resident per Day
1.07766
Reported RN Staffing Hours per Resident per Day
0.33830
Reported Licensed Staffing Hours per Resident per Day
1.41596
Reported Total Nurse Staffing Hours per Resident per Day
3.34043
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07819
Expected CNA Staffing Hours per Resident per Day
2.34851
Expected LPN Staffing Hours per Resident per Day
0.60656
Expected RN Staffing Hours per Resident per Day
1.01509
Expected Total Nurse Staffing Hours per Resident per Day
3.97015
Adjusted CNA Staffing Hours per Resident per Day
2.01067
Adjusted LPN Staffing Hours per Resident per Day
1.47465
Adjusted RN Staffing Hours per Resident per Day
0.24902
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39154
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-05-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
16
Cycle 2 Total Health Score
48
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
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
9255
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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