Universal Health Care & Rehab - Concord Nursing Home
General Information
UPDATEFederal Provider Number
345183
Provider Name
UNIVERSAL HEALTH CARE & REHAB
Provider Address
430 BROOKWOOD AVENUE NE
CONCORD, NC 28025
CONCORD, NC 28025
Provider Phone Number
(704) 788-4115
Provider SSA County
120
Provider County Name
Cabarrus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE CONCORD, INC
Date First Approved to Provide Medicare and Medicaid services
1979-05-01
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
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
2.17626
Reported LPN Staffing Hours per Resident per Day
0.86970
Reported RN Staffing Hours per Resident per Day
0.32323
Reported Licensed Staffing Hours per Resident per Day
1.19293
Reported Total Nurse Staffing Hours per Resident per Day
3.36919
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02222
Expected CNA Staffing Hours per Resident per Day
2.33552
Expected LPN Staffing Hours per Resident per Day
0.60545
Expected RN Staffing Hours per Resident per Day
1.15406
Expected Total Nurse Staffing Hours per Resident per Day
4.09502
Adjusted CNA Staffing Hours per Resident per Day
2.28638
Adjusted LPN Staffing Hours per Resident per Day
1.19226
Adjusted RN Staffing Hours per Resident per Day
0.20928
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31643
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
43680
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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