Universal Health Care/north Raleigh - Raleigh Nursing Home
General Information
UPDATEFederal Provider Number
345529
Provider Name
UNIVERSAL HEALTH CARE/NORTH RALEIGH
Provider Address
5201 CLARKS FORK DRIVE
RALEIGH, NC 27616
RALEIGH, NC 27616
Provider Phone Number
(919) 872-7033
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC
Date First Approved to Provide Medicare and Medicaid services
2004-06-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.22577
Reported LPN Staffing Hours per Resident per Day
1.07835
Reported RN Staffing Hours per Resident per Day
0.65412
Reported Licensed Staffing Hours per Resident per Day
1.73247
Reported Total Nurse Staffing Hours per Resident per Day
3.95824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17784
Expected CNA Staffing Hours per Resident per Day
2.56094
Expected LPN Staffing Hours per Resident per Day
0.67971
Expected RN Staffing Hours per Resident per Day
1.20419
Expected Total Nurse Staffing Hours per Resident per Day
4.44483
Adjusted CNA Staffing Hours per Resident per Day
2.13257
Adjusted LPN Staffing Hours per Resident per Day
1.31679
Adjusted RN Staffing Hours per Resident per Day
0.40588
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58962
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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