Twin Lakes Community Memory Care - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
345545
Provider Name
TWIN LAKES COMMUNITY MEMORY CARE
Provider Address
3701 WADE COBLE DRIVE
BURLINGTON, NC 27215
BURLINGTON, NC 27215
Provider Phone Number
(336) 585-2400
Provider SSA County
0
Provider County Name
Alamance
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
16
Number of Residents in Certified Beds
16
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
Date First Approved to Provide Medicare and Medicaid services
2008-11-05
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81250
Reported LPN Staffing Hours per Resident per Day
0.26875
Reported RN Staffing Hours per Resident per Day
1.21875
Reported Licensed Staffing Hours per Resident per Day
1.48750
Reported Total Nurse Staffing Hours per Resident per Day
4.30000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.51644
Expected LPN Staffing Hours per Resident per Day
0.48267
Expected RN Staffing Hours per Resident per Day
0.65811
Expected Total Nurse Staffing Hours per Resident per Day
3.65722
Adjusted CNA Staffing Hours per Resident per Day
2.74237
Adjusted LPN Staffing Hours per Resident per Day
0.46215
Adjusted RN Staffing Hours per Resident per Day
1.38373
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73935
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
2015-01-22
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
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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