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BROOKDALE CARRIAGE CLUB PROVIDENCE

Overall Rating

Address

5804 Old Providence Road

Charlotte, NC 28226

Contact

7043658551

Certification Date

1997-04-03

Details

CMS Certification Number

345482

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

14

Average Number of Residents per Day

4.0

Provider Type

Medicare

Legal Business Name

ARCLP CHARLOTTE LLC

Affiliated Entity Name

BROOKDALE SENIOR LIVING

Affiliated Entity ID

93

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.81439

Reported LPN Staffing Hours per Resident per Day

1.30000

Reported RN Staffing Hours per Resident per Day

3.13867

Reported Total Nurse Staffing Hours per Resident per Day

8.25306

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

7.88183

Registered Nurse Hours per Resident per Day on the Weekend

2.56462

Reported Physical Therapist Staffing Hours per Resident Per Day

1.19727

Quality Measures

Long-Stay Quality Measure Rating

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

32.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

1

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2024-02-21

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

0

Health Deficiency Score

52

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

52

Rating Cycle 2

Standard Health Survey Date

2022-09-14

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

1

Number of Complaint Health Deficiencies

0

Health Deficiency Score

8

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

8

Rating Cycle 3

Standard Health Survey Date

2021-11-05

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

3

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0