The Fountains At The Albemarle - Tarboro Nursing Home
General Information
UPDATEFederal Provider Number
345242
Provider Name
THE FOUNTAINS AT THE ALBEMARLE
Provider Address
200 TRADE STREET
TARBORO, NC 27886
TARBORO, NC 27886
Provider Phone Number
(252) 823-2799
Provider SSA County
320
Provider County Name
Edgecombe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUNTAINS ALBEMARLE SL, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-02-28
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
4
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
3.56591
Reported LPN Staffing Hours per Resident per Day
1.98636
Reported RN Staffing Hours per Resident per Day
0.46591
Reported Licensed Staffing Hours per Resident per Day
2.45227
Reported Total Nurse Staffing Hours per Resident per Day
6.01818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26364
Expected CNA Staffing Hours per Resident per Day
2.36270
Expected LPN Staffing Hours per Resident per Day
0.59489
Expected RN Staffing Hours per Resident per Day
1.17227
Expected Total Nurse Staffing Hours per Resident per Day
4.12985
Adjusted CNA Staffing Hours per Resident per Day
3.70325
Adjusted LPN Staffing Hours per Resident per Day
2.77142
Adjusted RN Staffing Hours per Resident per Day
0.29697
Adjusted Total Nurse Staffing Hours per Resident per Day
5.87399
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
0
Cycle 2 Standard Health Survey Date
2013-04-10
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
5.33300
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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