Provider Name: WESLEY PINES RETIREMENT COMM
Address: 1000 WESLEY PINES ROAD, LUMBERTON, NC 28358
Phone: (910) 738-9691
County: Robeson (770)
Ownership Type: Non profit - Corporation
Certified Beds: 62
Average Residents Per Day: 58.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
First Approved Date: December 1, 1980
Affiliated Entity: LIFE CARE SERVICES (312)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.15172, LPN Staff Hours Per Day: 0.6704, RN Staff Hours Per Day: 0.5136, Licensed Staff Hours Per Day: 1.1840
Total Nurse Staff Hours Per Day, per resident: 4.33579
Weekend Nurse Staff Hours: 3.74739, Weekend RN Staff Hours: 0.2335
PT Staff Hours Per Day, per resident: 0.0752
Nurse Staff Turnover: 37.5, Nurse Turnover Note:
RN Turnover: 37.5, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9617, Case Mix LPN Hours Per Day: 0.7107, Case Mix RN Hours Per Day: 0.3779
Adjusted Nurse Aide Hours Per Day, per resident: 3.27297, Adjusted LPN Hours Per Day: 0.6961, Adjusted RN Hours Per Day: 0.5120
Total Adjusted Nurse Hours Per Day, per resident: 4.48013
Adjusted Weekend Nurse Hours Per Day, per resident: 3.87214
Health Survey Dates and Scores: Cycle 1: 2023-09-08 (Score: 0), Cycle 2: 2022-04-14 (Score: 16), Cycle 3: 2019-09-19 (Score: 28)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1000 WESLEY PINES ROAD,LUMBERTON,NC,28358 (34.6573, -78.995)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-06
Type: Health, Deficiency: Report COVID19 data to residents and families.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-06
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Health, Deficiency: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-25
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-25