Stanley Total Living Center - Stanley Nursing Home
General Information
UPDATEFederal Provider Number
345264
Provider Name
STANLEY TOTAL LIVING CENTER
Provider Address
514 OLD MOUNT HOLLY ROAD
STANLEY, NC 28164
STANLEY, NC 28164
Provider Phone Number
(704) 263-1986
Provider SSA County
350
Provider County Name
Gaston
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STANLEY TOTAL LIVING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1987-07-23
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.01422
Reported LPN Staffing Hours per Resident per Day
0.89363
Reported RN Staffing Hours per Resident per Day
0.74412
Reported Licensed Staffing Hours per Resident per Day
1.63775
Reported Total Nurse Staffing Hours per Resident per Day
4.65197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.82581
Expected LPN Staffing Hours per Resident per Day
0.68855
Expected RN Staffing Hours per Resident per Day
0.96548
Expected Total Nurse Staffing Hours per Resident per Day
4.47985
Adjusted CNA Staffing Hours per Resident per Day
2.61730
Adjusted LPN Staffing Hours per Resident per Day
1.07721
Adjusted RN Staffing Hours per Resident per Day
0.57588
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18577
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-12-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
2012-10-25
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
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
290
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
290
Total Weighted Health Survey Score
73.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
32013
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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