Universal Health Care / Brunswick - Bolivia Nursing Home
General Information
UPDATEFederal Provider Number
345549
Provider Name
UNIVERSAL HEALTH CARE / BRUNSWICK
Provider Address
1070 OLD OCEAN HIGHWAY
BOLIVIA, NC 28422
BOLIVIA, NC 28422
Provider Phone Number
(910) 755-5955
Provider SSA County
90
Provider County Name
Brunswick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE BRUNSWICK INC.
Date First Approved to Provide Medicare and Medicaid services
2010-01-06
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
4
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
2.77289
Reported LPN Staffing Hours per Resident per Day
1.17771
Reported RN Staffing Hours per Resident per Day
0.70542
Reported Licensed Staffing Hours per Resident per Day
1.88313
Reported Total Nurse Staffing Hours per Resident per Day
4.65602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23133
Expected CNA Staffing Hours per Resident per Day
2.45165
Expected LPN Staffing Hours per Resident per Day
0.70206
Expected RN Staffing Hours per Resident per Day
1.28588
Expected Total Nurse Staffing Hours per Resident per Day
4.43959
Adjusted CNA Staffing Hours per Resident per Day
2.77521
Adjusted LPN Staffing Hours per Resident per Day
1.39233
Adjusted RN Staffing Hours per Resident per Day
0.40991
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22740
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
2014-07-16
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
2013-06-05
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-12
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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