NORTHERN REGIONAL HOSPITAL Nursing Home

NORTHERN REGIONAL HOSPITAL Summary

Provider Name: NORTHERN REGIONAL HOSPITAL

Address: 830 ROCKFORD STREET, MOUNT AIRY, NC 27030

Phone: (336) 719-7000

County: Surry (850)

Ownership Type: Government - Hospital district

Certified Beds: 33

Average Residents Per Day: 30.6 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: NORTHERN HOSPITAL OF SURRY COUNTY

First Approved Date: May 25, 1988

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 4 ()

Long Stay QM Rating: 2 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 5 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 3.06738, LPN Staff Hours Per Day: 0.2475, RN Staff Hours Per Day: 1.6092, Licensed Staff Hours Per Day: 1.8567

Total Nurse Staff Hours Per Day, per resident: 4.92409

Weekend Nurse Staff Hours: 4.58617, Weekend RN Staff Hours: 1.3813

PT Staff Hours Per Day, per resident: 0.0006

Nurse Staff Turnover: 28.9, Nurse Turnover Note:

RN Turnover: 9.1, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 2.0178, Case Mix LPN Hours Per Day: 0.7099, Case Mix RN Hours Per Day: 0.3243

Adjusted Nurse Aide Hours Per Day, per resident: 3.09682, Adjusted LPN Hours Per Day: 0.2572, Adjusted RN Hours Per Day: 1.8692

Total Adjusted Nurse Hours Per Day, per resident: 5.08512

Adjusted Weekend Nurse Hours Per Day, per resident: 4.73614

Health Survey Dates and Scores: Cycle 1: 2024-01-05 (Score: 0), Cycle 2: 2022-12-01 (Score: 0), Cycle 3: 2021-03-17 (Score: 0)

Total Weighted Health Score: 0.000

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 830 ROCKFORD STREET,MOUNT AIRY,NC,27030 (36.4884, -80.611)

Process Date: 2024-03-01