Poplar Heights Center - Elizabethtown Nursing Home
General Information
UPDATEFederal Provider Number
345267
Provider Name
POPLAR HEIGHTS CENTER
Provider Address
804 SOUTH POPULAR STREET
ELIZABETHTOWN, NC 28337
ELIZABETHTOWN, NC 28337
Provider Phone Number
(910) 862-8100
Provider SSA County
80
Provider County Name
Bladen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-11-15
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
3
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
3.02208
Reported LPN Staffing Hours per Resident per Day
0.95519
Reported RN Staffing Hours per Resident per Day
0.74805
Reported Licensed Staffing Hours per Resident per Day
1.70325
Reported Total Nurse Staffing Hours per Resident per Day
4.72532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06558
Expected CNA Staffing Hours per Resident per Day
2.49265
Expected LPN Staffing Hours per Resident per Day
0.74446
Expected RN Staffing Hours per Resident per Day
1.34713
Expected Total Nurse Staffing Hours per Resident per Day
4.58424
Adjusted CNA Staffing Hours per Resident per Day
2.97486
Adjusted LPN Staffing Hours per Resident per Day
1.06495
Adjusted RN Staffing Hours per Resident per Day
0.41491
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15495
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-10
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
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
1200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Elizabethtown Healthcare & Rehab Center
208 Mercer Road |
ELIZABETHTOWN NC 28337 | 0.3 mile away