Pruitthealth-elkin - Elkin Nursing Home
General Information
UPDATEFederal Provider Number
345124
Provider Name
PRUITTHEALTH-ELKIN
Provider Address
560 JOHNSON RIDGE ROAD
ELKIN, NC 28621
ELKIN, NC 28621
Provider Phone Number
(336) 835-7802
Provider SSA County
850
Provider County Name
Surry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH-ELKIN LLC
Date First Approved to Provide Medicare and Medicaid services
1974-09-12
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.29247
Reported LPN Staffing Hours per Resident per Day
0.69140
Reported RN Staffing Hours per Resident per Day
0.80215
Reported Licensed Staffing Hours per Resident per Day
1.49355
Reported Total Nurse Staffing Hours per Resident per Day
3.78602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18333
Expected CNA Staffing Hours per Resident per Day
2.82913
Expected LPN Staffing Hours per Resident per Day
0.75387
Expected RN Staffing Hours per Resident per Day
1.18004
Expected Total Nurse Staffing Hours per Resident per Day
4.76304
Adjusted CNA Staffing Hours per Resident per Day
1.98826
Adjusted LPN Staffing Hours per Resident per Day
0.76123
Adjusted RN Staffing Hours per Resident per Day
0.50792
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20406
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
2015-03-25
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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