The Presbyterian Home Of Hawfields - Mebane Nursing Home
General Information
UPDATEFederal Provider Number
345363
Provider Name
THE PRESBYTERIAN HOME OF HAWFIELDS
Provider Address
2502 S NC 119
MEBANE, NC 27302
MEBANE, NC 27302
Provider Phone Number
(336) 578-4701
Provider SSA County
0
Provider County Name
Alamance
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME OF HAWFIELDS INC
Date First Approved to Provide Medicare and Medicaid services
1991-04-23
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.57234
Reported LPN Staffing Hours per Resident per Day
0.35532
Reported RN Staffing Hours per Resident per Day
0.36383
Reported Licensed Staffing Hours per Resident per Day
0.71915
Reported Total Nurse Staffing Hours per Resident per Day
4.29149
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05691
Expected CNA Staffing Hours per Resident per Day
2.43085
Expected LPN Staffing Hours per Resident per Day
0.55578
Expected RN Staffing Hours per Resident per Day
0.91648
Expected Total Nurse Staffing Hours per Resident per Day
3.90311
Adjusted CNA Staffing Hours per Resident per Day
3.60592
Adjusted LPN Staffing Hours per Resident per Day
0.53063
Adjusted RN Staffing Hours per Resident per Day
0.29663
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43200
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
16
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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