Universal Health Care / Greenville - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
345181
Provider Name
UNIVERSAL HEALTH CARE / GREENVILLE
Provider Address
2578 WEST 5TH STREET
GREENVILLE, NC 27834
GREENVILLE, NC 27834
Provider Phone Number
(252) 758-7100
Provider SSA County
730
Provider County Name
Pitt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE GREENVILLE, INC
Date First Approved to Provide Medicare and Medicaid services
1978-07-26
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
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45442
Reported LPN Staffing Hours per Resident per Day
0.76504
Reported RN Staffing Hours per Resident per Day
0.42655
Reported Licensed Staffing Hours per Resident per Day
1.19159
Reported Total Nurse Staffing Hours per Resident per Day
3.64601
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01593
Expected CNA Staffing Hours per Resident per Day
2.49149
Expected LPN Staffing Hours per Resident per Day
0.71499
Expected RN Staffing Hours per Resident per Day
1.18877
Expected Total Nurse Staffing Hours per Resident per Day
4.39526
Adjusted CNA Staffing Hours per Resident per Day
2.41719
Adjusted LPN Staffing Hours per Resident per Day
0.88810
Adjusted RN Staffing Hours per Resident per Day
0.26811
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34376
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
Number of Fines
4
Total Amount of Fines in Dollars
8515
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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