| General |
| City |
| Winston-salem |
Kings Mountain |
| State attribute explanation |
| Nc |
Nc |
| Street |
| 3350 Silas Creek Parkway |
706 W King St |
| Zip Code |
| 27,103 |
28,086 |
| Phone |
| 3,367,650,550 |
7,047,393,601 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 2 |
5 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 90 |
10 |
|
Total Number of Residents |
| 82 |
8 |
|
Percent of Occupied Beds |
| 91 % |
80 % |
| Health Survey Date |
| 10/14/2011 |
5/3/2011 |
| Fire Survey Date |
| 10/14/2011 |
6/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Government - County |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
None |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
|
| Staff Information |
| Number of Residents |
| 82 |
8 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.64 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.68 |
2.34 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.58 |
2.98 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.23 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.23 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.6 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 21.8 % |
|
| Percent of long-stay residents who lose too much weight |
| 12.9 (55.2) |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 14.3 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.1:1 |
2.6 / 3 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 75 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 73.8 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.4 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.4 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.5 % |
|
| Percent of long-stay residents who lose too much weight |
| 11.8:1 |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 36.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 12.3:1 |
|
| Percent of long-stay residents who have depressive symptoms |
| 0.5 - 2.0 |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.7 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.5 % |
14.7:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.6 % |
97.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72.8 % |
99.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.7 % |
75.2 % |