| General |
| City |
| Roxboro |
Hickory |
| State attribute explanation |
| Nc |
Nc |
| Street |
| 615 Ridge Rd |
1125 10 St Blvd Nw |
| Zip Code |
| 27,573 |
28,601 |
| Phone |
| 3,365,992,121 |
8,283,226,995 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
|
1 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
|
2 |
|
Number of Certified Beds |
| 60 |
120 |
|
Total Number of Residents |
| 50 |
112 |
|
Percent of Occupied Beds |
| 83 % |
93 % |
| Health Survey Date |
| 8/18/2011 |
10/27/2011 |
| Fire Survey Date |
| 9/21/2011 |
11/17/2011 |
| Sprinkler Status |
| Not Sprinklered |
Not Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
|
| Staff Information |
| Number of Residents |
| 50 |
112 |
| Number of RN Hours Per Resident Per Day |
|
0.45 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.54 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
0.99 |
| Number of CNA Hours Per Resident Per Day |
|
0.14 |
| Number Therapy Hours Per Resident Per Day |
|
0.14 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.6 % |
29.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
15.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
2.1 % |
| Percent of long-stay residents who lose too much weight |
| 16.1 % |
14.7:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
68.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.2 % |
10.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
5.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.5-24 |
20.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.4 % |
85.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.6 % |
83.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.8 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
4.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.8 % |
29 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.3 % |
13.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.8 % |
2.8 % |
| Percent of long-stay residents who lose too much weight |
| 23.4 % |
12.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
69.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.7 % |
6.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.7 % |
9.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.8 % |
3.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.7 % |
16.9-24 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.8 % |
79.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.6 % |
83.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 22.9 % |
11.3 % |