Salemtowne - Winston-salem Nursing Home

General Information

UPDATE
Federal Provider Number
345479
Provider Name
SALEMTOWNE
Provider Address
2000 SALEMTOWNE DRIVE
WINSTON-SALEM, NC 27106
Provider Phone Number
(336) 767-8130
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
33
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORAVIAN HOME INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1996-10-15
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.58065
Reported LPN Staffing Hours per Resident per Day
0.92258
Reported RN Staffing Hours per Resident per Day
1.54194
Reported Licensed Staffing Hours per Resident per Day
2.46452
Reported Total Nurse Staffing Hours per Resident per Day
5.04517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18387
Expected CNA Staffing Hours per Resident per Day
2.40856
Expected LPN Staffing Hours per Resident per Day
0.56411
Expected RN Staffing Hours per Resident per Day
0.97122
Expected Total Nurse Staffing Hours per Resident per Day
3.94388
Adjusted CNA Staffing Hours per Resident per Day
2.62902
Adjusted LPN Staffing Hours per Resident per Day
1.35743
Adjusted RN Staffing Hours per Resident per Day
1.18628
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15649
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
2014-05-21
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-28
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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