Tarboro Nursing Center - Tarboro Nursing Home
General Information
UPDATEFederal Provider Number
345510
Provider Name
TARBORO NURSING CENTER
Provider Address
911 WESTERN BOULEVARD
TARBORO, NC 27886
TARBORO, NC 27886
Provider Phone Number
(252) 823-2041
Provider SSA County
320
Provider County Name
Edgecombe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TARBORO CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2001-01-04
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
2
QM Rating Footnote
Staffing Rating
3
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
2.31550
Reported LPN Staffing Hours per Resident per Day
0.83650
Reported RN Staffing Hours per Resident per Day
0.75100
Reported Licensed Staffing Hours per Resident per Day
1.58750
Reported Total Nurse Staffing Hours per Resident per Day
3.90300
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03200
Expected CNA Staffing Hours per Resident per Day
2.59682
Expected LPN Staffing Hours per Resident per Day
0.71153
Expected RN Staffing Hours per Resident per Day
1.19630
Expected Total Nurse Staffing Hours per Resident per Day
4.50465
Adjusted CNA Staffing Hours per Resident per Day
2.18789
Adjusted LPN Staffing Hours per Resident per Day
0.97577
Adjusted RN Staffing Hours per Resident per Day
0.46907
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49253
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.00000
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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