Woodbury Wellness Center Inc - Hampstead Nursing Home
General Information
UPDATEFederal Provider Number
345349
Provider Name
WOODBURY WELLNESS CENTER INC
Provider Address
2778 COUNTRY CLUB DRIVE
HAMPSTEAD, NC 28443
HAMPSTEAD, NC 28443
Provider Phone Number
9102701443
Provider SSA County
700
Provider County Name
Pender
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODBURY WELLNESS CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-11-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16058
Reported LPN Staffing Hours per Resident per Day
0.89663
Reported RN Staffing Hours per Resident per Day
0.76587
Reported Licensed Staffing Hours per Resident per Day
1.66250
Reported Total Nurse Staffing Hours per Resident per Day
3.82308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13894
Expected CNA Staffing Hours per Resident per Day
2.33422
Expected LPN Staffing Hours per Resident per Day
0.73935
Expected RN Staffing Hours per Resident per Day
1.31359
Expected Total Nurse Staffing Hours per Resident per Day
4.38717
Adjusted CNA Staffing Hours per Resident per Day
2.27117
Adjusted LPN Staffing Hours per Resident per Day
1.00656
Adjusted RN Staffing Hours per Resident per Day
0.43564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51262
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
2014-12-04
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
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-13
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
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
Nursiong Homes Nearby
Huntington Health Care
311 S Campbell Street |
BURGAW NC 28425 | 19 miles away
Pender Memorial Hosp Snf
507 Fremont Street |
BURGAW NC 28425 | 19 miles away
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