Provider Name: COLLEGE PINES HEALTH AND REHABILITATION
Address: 95 LOCUST STREET, CONNELLY SPG, NC 28612
Phone: (828) 580-6800
County: Burke (110)
Ownership Type: For profit - Corporation
Certified Beds: 100
Average Residents Per Day: 89.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: COLLEGE PINES REHABILITATION AND SKILLED NURSING CENTER LLC
First Approved Date: October 13, 1993
Affiliated Entity: SANSTONE HEALTH & REHABILITATION (465)
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: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.58638, LPN Staff Hours Per Day: 0.7627, RN Staff Hours Per Day: 0.4622, Licensed Staff Hours Per Day: 1.2249
Total Nurse Staff Hours Per Day, per resident: 3.81136
Weekend Nurse Staff Hours: 3.22317, Weekend RN Staff Hours: 0.3812
PT Staff Hours Per Day, per resident: 0.0617
Nurse Staff Turnover: 29.9, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.3430, Case Mix LPN Hours Per Day: 0.8989, Case Mix RN Hours Per Day: 0.4947
Adjusted Nurse Aide Hours Per Day, per resident: 2.24882, Adjusted LPN Hours Per Day: 0.6261, Adjusted RN Hours Per Day: 0.3520
Total Adjusted Nurse Hours Per Day, per resident: 3.21495
Adjusted Weekend Nurse Hours Per Day, per resident: 2.71880
Health Survey Dates and Scores: Cycle 1: 2023-11-30 (Score: 4), Cycle 2: 2022-08-17 (Score: 0), Cycle 3: 2021-03-24 (Score: 40)
Total Weighted Health Score: 8.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 14508.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 95 LOCUST STREET,CONNELLY SPG,NC,28612 (35.7457, -81.520)
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: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 2023-12-28
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-20
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2021-04-20
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2021-04-20
Type: Health, Deficiency: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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 2021-04-20
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 2021-04-20
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2021-04-20
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: 0521, Version: New
Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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 2024-01-26
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2022-10-09