Universal Health Care/king - King Nursing Home

General Information

UPDATE
Federal Provider Number
345449
Provider Name
UNIVERSAL HEALTH CARE/KING
Provider Address
115 WHITE ROAD
KING, NC 27021
Provider Phone Number
(336) 983-6505
Provider SSA County
840
Provider County Name
Stokes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE / KING, INC
Date First Approved to Provide Medicare and Medicaid services
1993-11-11
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11209
Reported LPN Staffing Hours per Resident per Day
0.83022
Reported RN Staffing Hours per Resident per Day
0.57143
Reported Licensed Staffing Hours per Resident per Day
1.40165
Reported Total Nurse Staffing Hours per Resident per Day
3.51374
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10385
Expected CNA Staffing Hours per Resident per Day
2.43626
Expected LPN Staffing Hours per Resident per Day
0.79096
Expected RN Staffing Hours per Resident per Day
1.36097
Expected Total Nurse Staffing Hours per Resident per Day
4.58819
Adjusted CNA Staffing Hours per Resident per Day
2.12721
Adjusted LPN Staffing Hours per Resident per Day
0.87119
Adjusted RN Staffing Hours per Resident per Day
0.31373
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08695
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-03-20
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
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
2012-12-20
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
2011-12-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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