Provider Name: IREDELL MEMORIAL HOSPITAL INC
Address: 557 BROOKDALE DRIVE, STATESVILLE, NC 28677
Phone: (704) 878-4541
County: Iredell (480)
Ownership Type: Non profit - Other
Certified Beds: 48
Average Residents Per Day: 32.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: IREDELL MEMORIAL HOSPITAL, INC
First Approved Date: July 13, 1989
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: 5 ()
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: 2.56474, LPN Staff Hours Per Day: 2.0833, RN Staff Hours Per Day: 2.2477, Licensed Staff Hours Per Day: 4.3311
Total Nurse Staff Hours Per Day, per resident: 6.89585
Weekend Nurse Staff Hours: 5.62336, Weekend RN Staff Hours: 2.0607
PT Staff Hours Per Day, per resident: 0.2567
Nurse Staff Turnover: 20.4, Nurse Turnover Note:
RN Turnover: 12.5, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2044, Case Mix LPN Hours Per Day: 0.8182, Case Mix RN Hours Per Day: 0.5008
Adjusted Nurse Aide Hours Per Day, per resident: 2.37024, Adjusted LPN Hours Per Day: 1.8788, Adjusted RN Hours Per Day: 1.6909
Total Adjusted Nurse Hours Per Day, per resident: 6.16870
Adjusted Weekend Nurse Hours Per Day, per resident: 5.03040
Health Survey Dates and Scores: Cycle 1: 2023-10-27 (Score: 4), Cycle 2: 2022-07-22 (Score: 0), Cycle 3: 2021-08-06 (Score: 8)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 2937.85, Payment Denials Number: 0, Total Penalties Number: 3
Location and GPS: 557 BROOKDALE DRIVE,STATESVILLE,NC,28677 (35.7996, -80.877)
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 safe, appropriate dialysis care/services for a resident who requires such services.
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 2023-11-13
Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2022-08-04
Type: Health, Deficiency: Post nurse staffing information every day.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2022-08-04
Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 2021-09-03
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 2021-09-03
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: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
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 2024-02-14