Provider Name: THE SHANNON GRAY REHABILITATION & RECOVERY CENTER
Address: 2005 SHANNON GRAY COURT, JAMESTOWN, NC 27282
Phone: (336) 307-4729
County: Guilford (400)
Ownership Type: For profit - Corporation
Certified Beds: 150
Average Residents Per Day: 101. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: GREATEST GENERATION, INC.
First Approved Date: July 9, 2010
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: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.51495, LPN Staff Hours Per Day: 1.0686, RN Staff Hours Per Day: 0.4523, Licensed Staff Hours Per Day: 1.5209
Total Nurse Staff Hours Per Day, per resident: 4.03589
Weekend Nurse Staff Hours: 3.65204, Weekend RN Staff Hours: 0.2531
PT Staff Hours Per Day, per resident: 0.0295
Nurse Staff Turnover: 60.5, Nurse Turnover Note:
RN Turnover: 56.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1498, Case Mix LPN Hours Per Day: 0.8497, Case Mix RN Hours Per Day: 0.4694
Adjusted Nurse Aide Hours Per Day, per resident: 2.38317, Adjusted LPN Hours Per Day: 0.9281, Adjusted RN Hours Per Day: 0.3630
Total Adjusted Nurse Hours Per Day, per resident: 3.66707
Adjusted Weekend Nurse Hours Per Day, per resident: 3.31830
Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 8), Cycle 2: 2022-09-02 (Score: 12), Cycle 3: 2021-07-02 (Score: 4)
Total Weighted Health Score: 8.667
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 650.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 2005 SHANNON GRAY COURT,JAMESTOWN,NC,27282 (35.9891, -79.951)
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 and implement an infection prevention and control program.
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 2024-02-02
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2022-09-30
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 2022-09-30
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 2022-09-30
Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 2021-07-26
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: 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 2024-02-16
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2024-02-16
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2022-10-25