Wilson Pines Nursing And Rehabilitation Center - Wilson Nursing Home
General Information
UPDATEFederal Provider Number
345372
Provider Name
WILSON PINES NURSING AND REHABILITATION CENTER
Provider Address
403 CRESTVIEW AVENUE
WILSON, NC 27893
WILSON, NC 27893
Provider Phone Number
(252) 237-0724
Provider SSA County
970
Provider County Name
Wilson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRUCE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-23
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.68247
Reported LPN Staffing Hours per Resident per Day
0.96688
Reported RN Staffing Hours per Resident per Day
0.61039
Reported Licensed Staffing Hours per Resident per Day
1.57727
Reported Total Nurse Staffing Hours per Resident per Day
4.25974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17273
Expected CNA Staffing Hours per Resident per Day
2.41654
Expected LPN Staffing Hours per Resident per Day
0.67986
Expected RN Staffing Hours per Resident per Day
1.22014
Expected Total Nurse Staffing Hours per Resident per Day
4.31654
Adjusted CNA Staffing Hours per Resident per Day
2.72371
Adjusted LPN Staffing Hours per Resident per Day
1.18041
Adjusted RN Staffing Hours per Resident per Day
0.37380
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97786
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2014-02-13
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
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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