Three Rivers Health And Rehab - Windsor Nursing Home
General Information
UPDATEFederal Provider Number
345404
Provider Name
THREE RIVERS HEALTH AND REHAB
Provider Address
1403 CONNER DRIVE
WINDSOR, NC 27983
WINDSOR, NC 27983
Provider Phone Number
(252) 794-4441
Provider SSA County
70
Provider County Name
Bertie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
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
1992-03-12
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96491
Reported LPN Staffing Hours per Resident per Day
0.88684
Reported RN Staffing Hours per Resident per Day
0.70614
Reported Licensed Staffing Hours per Resident per Day
1.59298
Reported Total Nurse Staffing Hours per Resident per Day
4.55789
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08860
Expected CNA Staffing Hours per Resident per Day
2.55391
Expected LPN Staffing Hours per Resident per Day
0.72954
Expected RN Staffing Hours per Resident per Day
1.22267
Expected Total Nurse Staffing Hours per Resident per Day
4.50613
Adjusted CNA Staffing Hours per Resident per Day
2.84857
Adjusted LPN Staffing Hours per Resident per Day
1.00895
Adjusted RN Staffing Hours per Resident per Day
0.43154
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07720
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-09
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
6.66700
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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Nursiong Homes Nearby
Brian Center Hlth & Rehab
1306 South King Street |
WINDSOR NC 27983 | 0.3 mile away