North Carolina Nursing Homes >> Clemmons Nursing Homes >> Regency Care Of Clemmons

Regency Care Of Clemmons - Clemmons Nursing Home

General Information

UPDATE
Federal Provider Number
345131
Provider Name
REGENCY CARE OF CLEMMONS
Provider Address
3905 CLEMMONS ROAD
CLEMMONS, NC 27012
Provider Phone Number
(336) 766-9158
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REGENCY CARE OF CLEMMONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.50985
Reported LPN Staffing Hours per Resident per Day
0.75985
Reported RN Staffing Hours per Resident per Day
0.67803
Reported Licensed Staffing Hours per Resident per Day
1.43788
Reported Total Nurse Staffing Hours per Resident per Day
3.94773
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12879
Expected CNA Staffing Hours per Resident per Day
2.54075
Expected LPN Staffing Hours per Resident per Day
0.69981
Expected RN Staffing Hours per Resident per Day
1.19669
Expected Total Nurse Staffing Hours per Resident per Day
4.43724
Adjusted CNA Staffing Hours per Resident per Day
2.42386
Adjusted LPN Staffing Hours per Resident per Day
0.90122
Adjusted RN Staffing Hours per Resident per Day
0.42336
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58622
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
111
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
49.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
37310
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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