Roxboro Healthcare & Rehab Center - Roxboro Nursing Home
General Information
UPDATEFederal Provider Number
345311
Provider Name
ROXBORO HEALTHCARE & REHAB CENTER
Provider Address
901 RIDGE ROAD
ROXBORO, NC 27573
ROXBORO, NC 27573
Provider Phone Number
3365990106
Provider SSA County
720
Provider County Name
Person
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROXBORO NURSING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-18
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
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01719
Reported LPN Staffing Hours per Resident per Day
0.65469
Reported RN Staffing Hours per Resident per Day
0.34531
Reported Licensed Staffing Hours per Resident per Day
1.00000
Reported Total Nurse Staffing Hours per Resident per Day
3.01719
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05859
Expected CNA Staffing Hours per Resident per Day
2.45646
Expected LPN Staffing Hours per Resident per Day
0.63958
Expected RN Staffing Hours per Resident per Day
1.01450
Expected Total Nurse Staffing Hours per Resident per Day
4.11055
Adjusted CNA Staffing Hours per Resident per Day
2.01492
Adjusted LPN Staffing Hours per Resident per Day
0.84961
Adjusted RN Staffing Hours per Resident per Day
0.25433
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95873
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
6403
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Person Memorial Hospital
615 Ridge Road |
ROXBORO NC 27573 | 0.3 mile away
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