Roanoke River Nursing And Rehabilitation Center - Williamston Nursing Home

General Information

UPDATE
Federal Provider Number
345145
Provider Name
ROANOKE RIVER NURSING AND REHABILITATION CENTER
Provider Address
119 GATLING STREET
WILLIAMSTON, NC 27892
Provider Phone Number
2527921616
Provider SSA County
580
Provider County Name
Martin
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TAR RIVER LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-11-01
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.08204
Reported LPN Staffing Hours per Resident per Day
0.60728
Reported RN Staffing Hours per Resident per Day
0.58932
Reported Licensed Staffing Hours per Resident per Day
1.19660
Reported Total Nurse Staffing Hours per Resident per Day
3.27864
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02913
Expected CNA Staffing Hours per Resident per Day
2.37036
Expected LPN Staffing Hours per Resident per Day
0.69530
Expected RN Staffing Hours per Resident per Day
1.21549
Expected Total Nurse Staffing Hours per Resident per Day
4.28115
Adjusted CNA Staffing Hours per Resident per Day
2.15525
Adjusted LPN Staffing Hours per Resident per Day
0.72493
Adjusted RN Staffing Hours per Resident per Day
0.36227
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08699
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-26
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
2014-03-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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