The Rehab And Hc Ctr At Village Gr - Fayetteville Nursing Home

General Information

UPDATE
Federal Provider Number
345380
Provider Name
THE REHAB AND HC CTR AT VILLAGE GR
Provider Address
1601 PURDUE DRIVE
FAYETTEVILLE, NC 28304
Provider Phone Number
(910) 486-5000
Provider SSA County
250
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
Date First Approved to Provide Medicare and Medicaid services
1991-07-10
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.02941
Reported LPN Staffing Hours per Resident per Day
1.15176
Reported RN Staffing Hours per Resident per Day
0.52353
Reported Licensed Staffing Hours per Resident per Day
1.67529
Reported Total Nurse Staffing Hours per Resident per Day
3.70470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15235
Expected CNA Staffing Hours per Resident per Day
2.53516
Expected LPN Staffing Hours per Resident per Day
0.67606
Expected RN Staffing Hours per Resident per Day
1.08884
Expected Total Nurse Staffing Hours per Resident per Day
4.30006
Adjusted CNA Staffing Hours per Resident per Day
1.96420
Adjusted LPN Staffing Hours per Resident per Day
1.41402
Adjusted RN Staffing Hours per Resident per Day
0.35926
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47281
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-10-24
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
12
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
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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