North Carolina Nursing Homes >> Kernersville Nursing Homes >> Piney Grove Nursing And Rehabilitation Center

Piney Grove Nursing And Rehabilitation Center - Kernersville Nursing Home

General Information

UPDATE
Federal Provider Number
345354
Provider Name
PINEY GROVE NURSING AND REHABILITATION CENTER
Provider Address
728 PINEY GROVE ROAD
KERNERSVILLE, NC 27284
Provider Phone Number
3369964038
Provider SSA County
330
Provider County Name
Forsyth
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SNOWSHOE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-03-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.44695
Reported LPN Staffing Hours per Resident per Day
0.85122
Reported RN Staffing Hours per Resident per Day
0.61220
Reported Licensed Staffing Hours per Resident per Day
1.46341
Reported Total Nurse Staffing Hours per Resident per Day
3.91037
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06951
Expected CNA Staffing Hours per Resident per Day
2.58253
Expected LPN Staffing Hours per Resident per Day
0.65241
Expected RN Staffing Hours per Resident per Day
1.07176
Expected Total Nurse Staffing Hours per Resident per Day
4.30670
Adjusted CNA Staffing Hours per Resident per Day
2.32488
Adjusted LPN Staffing Hours per Resident per Day
1.08292
Adjusted RN Staffing Hours per Resident per Day
0.42681
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65995
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-19
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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