Universal Health Care Lillington - Lillington Nursing Home
General Information
UPDATEFederal Provider Number
345213
Provider Name
UNIVERSAL HEALTH CARE LILLINGTON
Provider Address
1995 EAST CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
LILLINGTON, NC 27546
Provider Phone Number
(910) 893-5141
Provider SSA County
420
Provider County Name
Harnett
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE LILLINGTON, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
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
1
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
2.34356
Reported LPN Staffing Hours per Resident per Day
0.95297
Reported RN Staffing Hours per Resident per Day
0.25198
Reported Licensed Staffing Hours per Resident per Day
1.20495
Reported Total Nurse Staffing Hours per Resident per Day
3.54851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05297
Expected CNA Staffing Hours per Resident per Day
2.46087
Expected LPN Staffing Hours per Resident per Day
0.70748
Expected RN Staffing Hours per Resident per Day
1.13847
Expected Total Nurse Staffing Hours per Resident per Day
4.30683
Adjusted CNA Staffing Hours per Resident per Day
2.33673
Adjusted LPN Staffing Hours per Resident per Day
1.11801
Adjusted RN Staffing Hours per Resident per Day
0.16538
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32117
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
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
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
2
Total Amount of Fines in Dollars
65358
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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