Warsaw Health & Rehabilitation Center - Warsaw Nursing Home
General Information
UPDATEFederal Provider Number
345252
Provider Name
WARSAW HEALTH & REHABILITATION CENTER
Provider Address
214 LANEFIELD ROAD
WARSAW, NC 28398
WARSAW, NC 28398
Provider Phone Number
(910) 293-3144
Provider SSA County
300
Provider County Name
Duplin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVRAN SENIOR LIVING, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-10-23
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.21463
Reported LPN Staffing Hours per Resident per Day
1.50244
Reported RN Staffing Hours per Resident per Day
0.92988
Reported Licensed Staffing Hours per Resident per Day
2.43232
Reported Total Nurse Staffing Hours per Resident per Day
6.64695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12195
Expected CNA Staffing Hours per Resident per Day
2.66644
Expected LPN Staffing Hours per Resident per Day
0.75999
Expected RN Staffing Hours per Resident per Day
1.11555
Expected Total Nurse Staffing Hours per Resident per Day
4.54198
Adjusted CNA Staffing Hours per Resident per Day
3.87836
Adjusted LPN Staffing Hours per Resident per Day
1.64083
Adjusted RN Staffing Hours per Resident per Day
0.62284
Adjusted Total Nurse Staffing Hours per Resident per Day
5.89901
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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