Silver Stream Health And Rehabilitation Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
345537
Provider Name
SILVER STREAM HEALTH AND REHABILITATION CENTER
Provider Address
2305 SILVER STREAM LANE
WILMINGTON, NC 28401
WILMINGTON, NC 28401
Provider Phone Number
(910) 362-3621
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SILVER STREAM OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
2005-09-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
1.84343
Reported LPN Staffing Hours per Resident per Day
0.97626
Reported RN Staffing Hours per Resident per Day
0.88485
Reported Licensed Staffing Hours per Resident per Day
1.86111
Reported Total Nurse Staffing Hours per Resident per Day
3.70454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11566
Expected CNA Staffing Hours per Resident per Day
2.54418
Expected LPN Staffing Hours per Resident per Day
0.67874
Expected RN Staffing Hours per Resident per Day
1.25057
Expected Total Nurse Staffing Hours per Resident per Day
4.47350
Adjusted CNA Staffing Hours per Resident per Day
1.77787
Adjusted LPN Staffing Hours per Resident per Day
1.19382
Adjusted RN Staffing Hours per Resident per Day
0.52869
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33802
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2013-01-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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