Pruittheath-farmville - Farmville Nursing Home
General Information
UPDATEFederal Provider Number
345384
Provider Name
PRUITTHEATH-FARMVILLE
Provider Address
4351 SOUTH MAIN STREET
FARMVILLE, NC 27828
FARMVILLE, NC 27828
Provider Phone Number
(252) 753-5547
Provider SSA County
730
Provider County Name
Pitt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH-FARMVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-03
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.06182
Reported LPN Staffing Hours per Resident per Day
0.71364
Reported RN Staffing Hours per Resident per Day
0.56909
Reported Licensed Staffing Hours per Resident per Day
1.28273
Reported Total Nurse Staffing Hours per Resident per Day
3.34455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09364
Expected CNA Staffing Hours per Resident per Day
2.52037
Expected LPN Staffing Hours per Resident per Day
0.61114
Expected RN Staffing Hours per Resident per Day
1.02458
Expected Total Nurse Staffing Hours per Resident per Day
4.15609
Adjusted CNA Staffing Hours per Resident per Day
2.00728
Adjusted LPN Staffing Hours per Resident per Day
0.96921
Adjusted RN Staffing Hours per Resident per Day
0.41502
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24381
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
2015-04-23
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
8
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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