Universal Health Care/fuquay-varina - Fuquay Varina Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
345561
Provider Name
UNIVERSAL HEALTH CARE/FUQUAY-VARINA
Provider Address
410 S JUDD PARKWAY SE
FUQUAY VARINA, NC 27526
FUQUAY VARINA, NC 27526
Provider Phone Number
(919) 577-0421
Provider SSA County
420
Provider County Name
Harnett
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE FUQUAY-VARINA INC
Date First Approved to Provide Medicare and Medicaid services
2013-10-30
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.13306
Reported LPN Staffing Hours per Resident per Day
1.07258
Reported RN Staffing Hours per Resident per Day
0.71694
Reported Licensed Staffing Hours per Resident per Day
1.78952
Reported Total Nurse Staffing Hours per Resident per Day
3.92258
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22903
Expected CNA Staffing Hours per Resident per Day
2.54963
Expected LPN Staffing Hours per Resident per Day
0.70908
Expected RN Staffing Hours per Resident per Day
1.25181
Expected Total Nurse Staffing Hours per Resident per Day
4.51053
Adjusted CNA Staffing Hours per Resident per Day
2.05280
Adjusted LPN Staffing Hours per Resident per Day
1.25548
Adjusted RN Staffing Hours per Resident per Day
0.42794
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50547
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
4
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-10-30
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.40000
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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