Royal Park Rehab & Health Ctr Of Matthews - Matthews Nursing Home
General Information
UPDATEFederal Provider Number
345026
Provider Name
ROYAL PARK REHAB & HEALTH CTR OF MATTHEWS
Provider Address
2700 ROYAL COMMONS LANE
MATTHEWS, NC 28105
MATTHEWS, NC 28105
Provider Phone Number
(704) 940-8300
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
169
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.16138
Reported LPN Staffing Hours per Resident per Day
1.08130
Reported RN Staffing Hours per Resident per Day
0.30610
Reported Licensed Staffing Hours per Resident per Day
1.38740
Reported Total Nurse Staffing Hours per Resident per Day
3.54878
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16057
Expected CNA Staffing Hours per Resident per Day
2.39299
Expected LPN Staffing Hours per Resident per Day
0.67423
Expected RN Staffing Hours per Resident per Day
1.21211
Expected Total Nurse Staffing Hours per Resident per Day
4.27932
Adjusted CNA Staffing Hours per Resident per Day
2.21622
Adjusted LPN Staffing Hours per Resident per Day
1.33112
Adjusted RN Staffing Hours per Resident per Day
0.18869
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34277
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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