Pisgah Manor Health Care Center - Candler Nursing Home
General Information
UPDATEFederal Provider Number
345393
Provider Name
PISGAH MANOR HEALTH CARE CENTER
Provider Address
104 HOLCOMBE COVE ROAD
CANDLER, NC 28715
CANDLER, NC 28715
Provider Phone Number
(828) 667-9851
Provider SSA County
100
Provider County Name
Buncombe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAROLINA ADVENTIST RETIREMENT SYSTEMS, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-07-16
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.95288
Reported LPN Staffing Hours per Resident per Day
0.62356
Reported RN Staffing Hours per Resident per Day
0.82356
Reported Licensed Staffing Hours per Resident per Day
1.44712
Reported Total Nurse Staffing Hours per Resident per Day
3.40000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18221
Expected CNA Staffing Hours per Resident per Day
2.56556
Expected LPN Staffing Hours per Resident per Day
0.69889
Expected RN Staffing Hours per Resident per Day
1.13628
Expected Total Nurse Staffing Hours per Resident per Day
4.40073
Adjusted CNA Staffing Hours per Resident per Day
1.86773
Adjusted LPN Staffing Hours per Resident per Day
0.74054
Adjusted RN Staffing Hours per Resident per Day
0.54156
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11427
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
79
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
79
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-26
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
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
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
40.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
39130
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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