Warren Hills A Personal Care - Warrenton Nursing Home

General Information

UPDATE
Federal Provider Number
345240
Provider Name
WARREN HILLS A PERSONAL CARE
Provider Address
864 US HWY 158 BUSINESS WEST
WARRENTON, NC 27589
Provider Phone Number
2522572011
Provider SSA County
920
Provider County Name
Warren
Ownership Type
For profit - Individual
Number of Certified Beds
140
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WARREN HILLS, A PERSONAL CARE AND NURSING FACILITY
Date First Approved to Provide Medicare and Medicaid services
1983-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.74115
Reported LPN Staffing Hours per Resident per Day
1.02080
Reported RN Staffing Hours per Resident per Day
0.55310
Reported Licensed Staffing Hours per Resident per Day
1.57389
Reported Total Nurse Staffing Hours per Resident per Day
4.31505
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05044
Expected CNA Staffing Hours per Resident per Day
2.47061
Expected LPN Staffing Hours per Resident per Day
0.60129
Expected RN Staffing Hours per Resident per Day
0.90482
Expected Total Nurse Staffing Hours per Resident per Day
3.97672
Adjusted CNA Staffing Hours per Resident per Day
2.72238
Adjusted LPN Staffing Hours per Resident per Day
1.40907
Adjusted RN Staffing Hours per Resident per Day
0.45675
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37383
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
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
32
Total Weighted Health Survey Score
35.33300
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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