Premier Nursing And Rehabilitation Center - Jacksonville Nursing Home

General Information

UPDATE
Federal Provider Number
345217
Provider Name
PREMIER NURSING AND REHABILITATION CENTER
Provider Address
225 WHITE STREET
JACKSONVILLE, NC 28546
Provider Phone Number
(910) 353-7222
Provider SSA County
660
Provider County Name
Onslow
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
239
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REDWOOD LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-11-25
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95208
Reported LPN Staffing Hours per Resident per Day
0.98304
Reported RN Staffing Hours per Resident per Day
0.48869
Reported Licensed Staffing Hours per Resident per Day
1.47173
Reported Total Nurse Staffing Hours per Resident per Day
3.42381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07917
Expected CNA Staffing Hours per Resident per Day
2.54739
Expected LPN Staffing Hours per Resident per Day
0.67488
Expected RN Staffing Hours per Resident per Day
1.14255
Expected Total Nurse Staffing Hours per Resident per Day
4.36482
Adjusted CNA Staffing Hours per Resident per Day
1.88029
Adjusted LPN Staffing Hours per Resident per Day
1.20898
Adjusted RN Staffing Hours per Resident per Day
0.31959
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16188
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-10-24
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
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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