The Oaks - Winston-salem Nursing Home
General Information
UPDATEFederal Provider Number
345284
Provider Name
THE OAKS
Provider Address
901 BETHESDA ROAD
WINSTON-SALEM, NC 27103
WINSTON-SALEM, NC 27103
Provider Phone Number
(336) 768-2211
Provider SSA County
330
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1988-06-30
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57265
Reported LPN Staffing Hours per Resident per Day
0.92051
Reported RN Staffing Hours per Resident per Day
0.31581
Reported Licensed Staffing Hours per Resident per Day
1.23632
Reported Total Nurse Staffing Hours per Resident per Day
3.80897
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06923
Expected CNA Staffing Hours per Resident per Day
2.58135
Expected LPN Staffing Hours per Resident per Day
0.70007
Expected RN Staffing Hours per Resident per Day
1.18086
Expected Total Nurse Staffing Hours per Resident per Day
4.46229
Adjusted CNA Staffing Hours per Resident per Day
2.44543
Adjusted LPN Staffing Hours per Resident per Day
1.09135
Adjusted RN Staffing Hours per Resident per Day
0.19983
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44074
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
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
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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