The Laurels Of Forest Glenn - Garner Nursing Home

General Information

UPDATE
Federal Provider Number
345389
Provider Name
THE LAURELS OF FOREST GLENN
Provider Address
1101 HARTWELL STREET
GARNER, NC 27529
Provider Phone Number
9197728888
Provider SSA County
910
Provider County Name
Wake
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC
Date First Approved to Provide Medicare and Medicaid services
1991-06-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.31186
Reported LPN Staffing Hours per Resident per Day
0.70212
Reported RN Staffing Hours per Resident per Day
0.65847
Reported Licensed Staffing Hours per Resident per Day
1.36059
Reported Total Nurse Staffing Hours per Resident per Day
4.67245
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13093
Expected CNA Staffing Hours per Resident per Day
2.55397
Expected LPN Staffing Hours per Resident per Day
0.63084
Expected RN Staffing Hours per Resident per Day
1.09622
Expected Total Nurse Staffing Hours per Resident per Day
4.28103
Adjusted CNA Staffing Hours per Resident per Day
3.18183
Adjusted LPN Staffing Hours per Resident per Day
0.92378
Adjusted RN Staffing Hours per Resident per Day
0.44882
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39945
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
75.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
24385
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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