Zebulon Rehabilitation Center - Zebulon Nursing Home
General Information
UPDATEFederal Provider Number
345104
Provider Name
ZEBULON REHABILITATION CENTER
Provider Address
509 WEST GANNON AVENUE
ZEBULON, NC 27597
ZEBULON, NC 27597
Provider Phone Number
(919) 269-9621
Provider SSA County
910
Provider County Name
Wake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZEBULON REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1973-09-15
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.94732
Reported LPN Staffing Hours per Resident per Day
1.06875
Reported RN Staffing Hours per Resident per Day
0.53125
Reported Licensed Staffing Hours per Resident per Day
1.60000
Reported Total Nurse Staffing Hours per Resident per Day
3.54732
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22946
Expected CNA Staffing Hours per Resident per Day
2.45610
Expected LPN Staffing Hours per Resident per Day
0.61964
Expected RN Staffing Hours per Resident per Day
1.18789
Expected Total Nurse Staffing Hours per Resident per Day
4.26363
Adjusted CNA Staffing Hours per Resident per Day
1.94541
Adjusted LPN Staffing Hours per Resident per Day
1.43157
Adjusted RN Staffing Hours per Resident per Day
0.33416
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35369
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
37.33300
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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