St Joseph Of The Pines Health - Southern Pines Nursing Home
General Information
UPDATEFederal Provider Number
345044
Provider Name
ST JOSEPH OF THE PINES HEALTH
Provider Address
103 GOSSMAN DRIVE
SOUTHERN PINES, NC 28387
SOUTHERN PINES, NC 28387
Provider Phone Number
(910) 246-1000
Provider SSA County
620
Provider County Name
Moore
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. JOSEPH OF THE PINES, INC
Date First Approved to Provide Medicare and Medicaid services
1968-01-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.55541
Reported LPN Staffing Hours per Resident per Day
1.15304
Reported RN Staffing Hours per Resident per Day
0.46520
Reported Licensed Staffing Hours per Resident per Day
1.61824
Reported Total Nurse Staffing Hours per Resident per Day
4.17365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16655
Expected CNA Staffing Hours per Resident per Day
2.43514
Expected LPN Staffing Hours per Resident per Day
0.64304
Expected RN Staffing Hours per Resident per Day
1.07604
Expected Total Nurse Staffing Hours per Resident per Day
4.15422
Adjusted CNA Staffing Hours per Resident per Day
2.57488
Adjusted LPN Staffing Hours per Resident per Day
1.48828
Adjusted RN Staffing Hours per Resident per Day
0.32303
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04975
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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