Signature Healthcare Of Roanoke Rapids - Roanoke Rapids Nursing Home
General Information
UPDATEFederal Provider Number
345336
Provider Name
SIGNATURE HEALTHCARE OF ROANOKE RAPIDS
Provider Address
305 FOURTEENTH STREET
ROANOKE RAPIDS, NC 27870
ROANOKE RAPIDS, NC 27870
Provider Phone Number
(252) 537-6181
Provider SSA County
410
Provider County Name
Halifax
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP ROANOKE RAPIDS LLC
Date First Approved to Provide Medicare and Medicaid services
1990-12-05
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.70579
Reported LPN Staffing Hours per Resident per Day
0.99368
Reported RN Staffing Hours per Resident per Day
0.67579
Reported Licensed Staffing Hours per Resident per Day
1.66947
Reported Total Nurse Staffing Hours per Resident per Day
3.37526
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09789
Expected CNA Staffing Hours per Resident per Day
2.45705
Expected LPN Staffing Hours per Resident per Day
0.69443
Expected RN Staffing Hours per Resident per Day
1.29940
Expected Total Nurse Staffing Hours per Resident per Day
4.45089
Adjusted CNA Staffing Hours per Resident per Day
1.70346
Adjusted LPN Staffing Hours per Resident per Day
1.18766
Adjusted RN Staffing Hours per Resident per Day
0.38860
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05677
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
8
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
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
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