Signature Healthcare Of Kinston - Kinston Nursing Home
General Information
UPDATEFederal Provider Number
345365
Provider Name
SIGNATURE HEALTHCARE OF KINSTON
Provider Address
907 CUNNINGHAM ROAD
KINSTON, NC 28501
KINSTON, NC 28501
Provider Phone Number
2525275146
Provider SSA County
530
Provider County Name
Lenoir
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP KINSTON LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08646
Reported LPN Staffing Hours per Resident per Day
0.67344
Reported RN Staffing Hours per Resident per Day
0.63438
Reported Licensed Staffing Hours per Resident per Day
1.30781
Reported Total Nurse Staffing Hours per Resident per Day
3.39428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05885
Expected CNA Staffing Hours per Resident per Day
2.34899
Expected LPN Staffing Hours per Resident per Day
0.54902
Expected RN Staffing Hours per Resident per Day
0.91700
Expected Total Nurse Staffing Hours per Resident per Day
3.81501
Adjusted CNA Staffing Hours per Resident per Day
2.17947
Adjusted LPN Staffing Hours per Resident per Day
1.01810
Adjusted RN Staffing Hours per Resident per Day
0.51691
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58636
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-23
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-07
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
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
8.66700
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
Harmony Hall Nursing And Rehabilitation Center
312 Warren Avenue |
KINSTON NC 28502 | 1.8 miles away
Nc State Veterans Home-kinston
2150 Hull Road |
KINSTON NC 28504 | 3.4 miles away
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