North Carolina Nursing Homes >> North Wilkesboro Nursing Homes >> Wilkes Senior Village

Wilkes Senior Village - North Wilkesboro Nursing Home

General Information

UPDATE
Federal Provider Number
345401
Provider Name
WILKES SENIOR VILLAGE
Provider Address
204 OLD BRICKYARD ROAD
NORTH WILKESBORO, NC 28659
Provider Phone Number
(336) 667-2020
Provider SSA County
960
Provider County Name
Wilkes
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
111
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CONCEPTS, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-09-12
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
3.02550
Reported LPN Staffing Hours per Resident per Day
0.51700
Reported RN Staffing Hours per Resident per Day
0.95800
Reported Licensed Staffing Hours per Resident per Day
1.47500
Reported Total Nurse Staffing Hours per Resident per Day
4.50050
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06200
Expected CNA Staffing Hours per Resident per Day
2.68229
Expected LPN Staffing Hours per Resident per Day
0.72736
Expected RN Staffing Hours per Resident per Day
1.23832
Expected Total Nurse Staffing Hours per Resident per Day
4.64797
Adjusted CNA Staffing Hours per Resident per Day
2.76766
Adjusted LPN Staffing Hours per Resident per Day
0.58996
Adjusted RN Staffing Hours per Resident per Day
0.57805
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90301
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
4
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
0
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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