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Detailed information-CYPRESS GLEN RETIREMENT COMMUN

This is the detailed information about CYPRESS GLEN RETIREMENT COMMUN, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 345512
Provider Name: CYPRESS GLEN RETIREMENT COMMUN
Provider State: NC
Provider Zip Code: 27858
Overall Rating: 5
Ownership Type: Non profit - Corporation
Number of Substantiated Complaints: 0
Provider Phone Number: 2528300036
Provider City: GREENVILLE
Provider SSA County Code: 730
Provider County Name: Pitt
Provider Address: 1000 HICKORY STREET
Number of Certified Beds: 6
Number of Residents in Certified Beds: 2.5
Provider Type: Medicare
Provider Resides in Hospital: N
Legal Business Name: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Date First Approved to Provide Medicare and Medicaid services: 2002-01-10
Continuing Care Retirement Community: Y
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Both
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 5
Health Inspection Rating Footnote:
QM Rating: 4
QM Rating Footnote:
Staffing Rating: 4
Staffing Rating Footnote:
RN Staffing Rating: 4
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.96483
Reported LPN Staffing Hours per Resident per Day: 0.50546
Reported RN Staffing Hours per Resident per Day: 0.84285
Reported Licensed Staffing Hours per Resident per Day: 1.34831
Reported Total Nurse Staffing Hours per Resident per Day: 4.31314
Reported Physical Therapist Staffing Hours per Resident Per Day: 1.22531
Expected CNA Staffing Hours per Resident per Day: 1.95575
Expected LPN Staffing Hours per Resident per Day: 0.94140
Expected RN Staffing Hours per Resident per Day: 0.53100
Expected Total Nurse Staffing Hours per Resident per Day: 3.42815

Adjusted CNA Staffing Hours per Resident per Day: 3.16720
Adjusted LPN Staffing Hours per Resident per Day: 0.40745
Adjusted RN Staffing Hours per Resident per Day: 0.60383
Adjusted Total Nurse Staffing Hours per Resident per Day: 4.06197
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 03/16/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 0
Rating Cycle 1 Standard Survey Health Date: 2017-03-16
Rating Cycle 1 Total Number of Health Deficiencies: 0
Rating Cycle 1 Number of Standard Health Deficiencies: 0
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 0
Rating Cycle 1 Number of Health Revisits: 0
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 0

Rating Cycle 2 Standard Health Survey Date: 2016-04-07
Rating Cycle 2 Total Number of Health Deficiencies: 0
Rating Cycle 2 Number of Standard Health Deficiencies: 0
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 0
Rating Cycle 2 Number of Health Revisits: 0
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 0
Total Weighted Health Survey Score: 0.000
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01