Shoreland Hlth Care & Retireme - Whiteville Nursing Home
General Information
UPDATEFederal Provider Number
345397
Provider Name
SHORELAND HLTH CARE & RETIREME
Provider Address
200 FLOWER-PRIDGEN DRIVE
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
Provider Phone Number
9106424300
Provider SSA County
230
Provider County Name
Columbus
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHORELAND HEALTHCARE & RETIREMENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1991-09-10
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.28235
Reported LPN Staffing Hours per Resident per Day
0.88971
Reported RN Staffing Hours per Resident per Day
0.46618
Reported Licensed Staffing Hours per Resident per Day
1.35588
Reported Total Nurse Staffing Hours per Resident per Day
3.63824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08824
Expected CNA Staffing Hours per Resident per Day
2.55658
Expected LPN Staffing Hours per Resident per Day
0.63804
Expected RN Staffing Hours per Resident per Day
0.95195
Expected Total Nurse Staffing Hours per Resident per Day
4.14658
Adjusted CNA Staffing Hours per Resident per Day
2.19051
Adjusted LPN Staffing Hours per Resident per Day
1.15738
Adjusted RN Staffing Hours per Resident per Day
0.36591
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53674
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Liberty Commons N&r Ctr Of Columbus Cty
1402 Pinckney Street |
WHITEVILLE NC 28472 | 0.4 mile away
Premier Living And Rehab Center
106 Cameron Street |
LAKE WACCAMAW NC 28450 | 10.9 miles away
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