Wilora Lake Healthcare Center - Charlotte Nursing Home

General Information

UPDATE
Federal Provider Number
345473
Provider Name
WILORA LAKE HEALTHCARE CENTER
Provider Address
6001 WILORA LAKE ROAD
CHARLOTTE, NC 28212
Provider Phone Number
(704) 563-2922
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILORA LAKE HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-09-26
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.15286
Reported LPN Staffing Hours per Resident per Day
0.72286
Reported RN Staffing Hours per Resident per Day
0.79357
Reported Licensed Staffing Hours per Resident per Day
1.51643
Reported Total Nurse Staffing Hours per Resident per Day
3.66929
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08143
Expected CNA Staffing Hours per Resident per Day
2.41839
Expected LPN Staffing Hours per Resident per Day
0.66755
Expected RN Staffing Hours per Resident per Day
1.11467
Expected Total Nurse Staffing Hours per Resident per Day
4.20062
Adjusted CNA Staffing Hours per Resident per Day
2.18429
Adjusted LPN Staffing Hours per Resident per Day
0.89877
Adjusted RN Staffing Hours per Resident per Day
0.53196
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52104
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
2015-01-15
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
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
4095
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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