Wesley Pines Retirement Comm - Lumberton Nursing Home
General Information
UPDATEFederal Provider Number
345180
Provider Name
WESLEY PINES RETIREMENT COMM
Provider Address
1000 WESLEY PINES ROAD
LUMBERTON, NC 28358
LUMBERTON, NC 28358
Provider Phone Number
(910) 738-9691
Provider SSA County
770
Provider County Name
Robeson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
62
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED METHODIST RETIREMENT HOMES INCORPORATED.
Date First Approved to Provide Medicare and Medicaid services
1980-12-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89914
Reported LPN Staffing Hours per Resident per Day
1.08534
Reported RN Staffing Hours per Resident per Day
0.49828
Reported Licensed Staffing Hours per Resident per Day
1.58362
Reported Total Nurse Staffing Hours per Resident per Day
4.48276
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18190
Expected CNA Staffing Hours per Resident per Day
2.37217
Expected LPN Staffing Hours per Resident per Day
0.60341
Expected RN Staffing Hours per Resident per Day
0.98749
Expected Total Nurse Staffing Hours per Resident per Day
3.96308
Adjusted CNA Staffing Hours per Resident per Day
2.99878
Adjusted LPN Staffing Hours per Resident per Day
1.49289
Adjusted RN Staffing Hours per Resident per Day
0.37703
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55947
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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