Overall Rating
Address
10011 Providence Road West
Charlotte, NC 28277
Contact
9802458500
Certification Date
2014-03-20
CMS Certification Number
345563
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Average Number of Residents per Day
90.8
Provider Type
Medicare and Medicaid
Legal Business Name
LIBERTY HEALTHCARE GROUP, LLC
Affiliated Entity Name
LIBERTY SENIOR LIVING
Affiliated Entity ID
310
Health Inspection Rating
3
Quality Measure Rating
1
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.83256
Reported LPN Staffing Hours per Resident per Day
0.78356
Reported RN Staffing Hours per Resident per Day
0.52655
Reported Total Nurse Staffing Hours per Resident per Day
3.14267
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.02906
Registered Nurse Hours per Resident per Day on the Weekend
0.44649
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11436
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
1
Total Weighted Health Survey Score
34.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2022-09-29
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
2
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2021-05-07
Total Number of Health Deficiencies
0
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
0
Health Deficiency Score
0
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
0
Standard Health Survey Date
2019-05-23
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Number of Fines
1
Total Amount of Fines in Dollars
7796.75
Number of Payment Denials
0
Total Number of Penalties
1