Stanly Manor - Albemarle Nursing Home
General Information
UPDATEFederal Provider Number
345281
Provider Name
STANLY MANOR
Provider Address
625 BETHANY CHURCH ROAD BOX 38
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
Provider Phone Number
(704) 982-0770
Provider SSA County
830
Provider County Name
Stanly
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STANLY MANOR INC.
Date First Approved to Provide Medicare and Medicaid services
1988-06-23
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.60465
Reported LPN Staffing Hours per Resident per Day
0.83721
Reported RN Staffing Hours per Resident per Day
0.66919
Reported Licensed Staffing Hours per Resident per Day
1.50640
Reported Total Nurse Staffing Hours per Resident per Day
5.11105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06628
Expected CNA Staffing Hours per Resident per Day
2.55221
Expected LPN Staffing Hours per Resident per Day
0.64652
Expected RN Staffing Hours per Resident per Day
1.11591
Expected Total Nurse Staffing Hours per Resident per Day
4.31463
Adjusted CNA Staffing Hours per Resident per Day
3.46552
Adjusted LPN Staffing Hours per Resident per Day
1.07481
Adjusted RN Staffing Hours per Resident per Day
0.44808
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77494
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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