Woodlands Nursing & Rehabilitation Center - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
345481
Provider Name
WOODLANDS NURSING & REHABILITATION CENTER
Provider Address
400 PELT DRIVE
FAYETTEVILLE, NC 28301
FAYETTEVILLE, NC 28301
Provider Phone Number
(910) 822-0515
Provider SSA County
250
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
80
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SW MANAGEMENT GROUP INC
Date First Approved to Provide Medicare and Medicaid services
1997-02-27
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.28984
Reported LPN Staffing Hours per Resident per Day
0.93281
Reported RN Staffing Hours per Resident per Day
0.66641
Reported Licensed Staffing Hours per Resident per Day
1.59922
Reported Total Nurse Staffing Hours per Resident per Day
3.88906
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.62433
Expected LPN Staffing Hours per Resident per Day
0.77480
Expected RN Staffing Hours per Resident per Day
1.24317
Expected Total Nurse Staffing Hours per Resident per Day
4.64230
Adjusted CNA Staffing Hours per Resident per Day
2.14096
Adjusted LPN Staffing Hours per Resident per Day
0.99926
Adjusted RN Staffing Hours per Resident per Day
0.40054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37686
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
125
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
125
Total Weighted Health Survey Score
62.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
28568
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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