Transitional Health Services Of Kannapolis - Kannapolis Nursing Home
General Information
UPDATEFederal Provider Number
345258
Provider Name
TRANSITIONAL HEALTH SERVICES OF KANNAPOLIS
Provider Address
1810 CONCORD LAKE ROAD
KANNAPOLIS, NC 28083
KANNAPOLIS, NC 28083
Provider Phone Number
(704) 933-3781
Provider SSA County
120
Provider County Name
Cabarrus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KANNAPOLIS HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-04-30
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05511
Reported LPN Staffing Hours per Resident per Day
1.06307
Reported RN Staffing Hours per Resident per Day
0.92614
Reported Licensed Staffing Hours per Resident per Day
1.98920
Reported Total Nurse Staffing Hours per Resident per Day
4.04432
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10625
Expected CNA Staffing Hours per Resident per Day
2.52145
Expected LPN Staffing Hours per Resident per Day
0.71344
Expected RN Staffing Hours per Resident per Day
1.30404
Expected Total Nurse Staffing Hours per Resident per Day
4.53893
Adjusted CNA Staffing Hours per Resident per Day
1.99989
Adjusted LPN Staffing Hours per Resident per Day
1.23675
Adjusted RN Staffing Hours per Resident per Day
0.53067
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59165
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
20
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
20
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
10660
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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