Stokes County Nursing Home - Danbury Nursing Home
General Information
UPDATEFederal Provider Number
345166
Provider Name
STOKES COUNTY NURSING HOME
Provider Address
1570 NC 8 AND 89 HIGHWAY
DANBURY, NC 27016
DANBURY, NC 27016
Provider Phone Number
(336) 593-2831
Provider SSA County
840
Provider County Name
Stokes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-06-13
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
1.89103
Reported LPN Staffing Hours per Resident per Day
0.45385
Reported RN Staffing Hours per Resident per Day
0.57692
Reported Licensed Staffing Hours per Resident per Day
1.03077
Reported Total Nurse Staffing Hours per Resident per Day
2.92180
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00769
Expected CNA Staffing Hours per Resident per Day
2.58722
Expected LPN Staffing Hours per Resident per Day
0.69801
Expected RN Staffing Hours per Resident per Day
0.94524
Expected Total Nurse Staffing Hours per Resident per Day
4.23047
Adjusted CNA Staffing Hours per Resident per Day
1.79344
Adjusted LPN Staffing Hours per Resident per Day
0.53967
Adjusted RN Staffing Hours per Resident per Day
0.45605
Adjusted Total Nurse Staffing Hours per Resident per Day
2.78396
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
37.33300
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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