Provider Name: ADAMS FARM LIVING & REHABILITATION
Address: 5100 MACKAY ROAD, JAMESTOWN, NC 27282
Phone: (336) 855-5596
County: Guilford (400)
Ownership Type: For profit - Corporation
Certified Beds: 120
Average Residents Per Day: 107. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ADAMS FARM LIVING INC
First Approved Date: November 1, 2005
Affiliated Entity: CENTURY CARE MANAGEMENT (131)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 5 ()
QM Rating: 1 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.71952, LPN Staff Hours Per Day: 0.8849, RN Staff Hours Per Day: 0.3981, Licensed Staff Hours Per Day: 1.2830
Total Nurse Staff Hours Per Day, per resident: 3.00254
Weekend Nurse Staff Hours: 2.42613, Weekend RN Staff Hours: 0.1892
PT Staff Hours Per Day, per resident: 0.0599
Nurse Staff Turnover: 65.0, Nurse Turnover Note:
RN Turnover: 64.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1044, Case Mix LPN Hours Per Day: 0.8017, Case Mix RN Hours Per Day: 0.4219
Adjusted Nurse Aide Hours Per Day, per resident: 1.66463, Adjusted LPN Hours Per Day: 0.8145, Adjusted RN Hours Per Day: 0.3555
Total Adjusted Nurse Hours Per Day, per resident: 2.84370
Adjusted Weekend Nurse Hours Per Day, per resident: 2.29779
Health Survey Dates and Scores: Cycle 1: 2023-10-13 (Score: 0), Cycle 2: 2022-04-14 (Score: 4), Cycle 3: 2020-02-27 (Score: 8)
Total Weighted Health Score: 2.667
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: 5100 MACKAY ROAD,JAMESTOWN,NC,27282 (36.0172, -79.900)
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 2022-05-12
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 2020-03-26
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2020-03-26
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: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: F - 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
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
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
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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
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: 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 2024-02-14
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-31