Overall Rating
Address
83 Cavalier Drive, Ste 200
Wilmington, NC 28405
Contact
9106798300
Certification Date
2015-06-06
CMS Certification Number
345568
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Average Number of Residents per Day
14.0
Provider Type
Medicare and Medicaid
Legal Business Name
CORNELIA NIXON DAVIS, INC.
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.45394
Reported LPN Staffing Hours per Resident per Day
1.20438
Reported RN Staffing Hours per Resident per Day
0.89685
Reported Total Nurse Staffing Hours per Resident per Day
4.55517
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.25348
Registered Nurse Hours per Resident per Day on the Weekend
0.65524
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30371
Long-Stay Quality Measure Rating
1
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
50.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-11-30
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
2
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2022-07-27
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
0
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2021-03-26
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
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
3
Total Amount of Fines in Dollars
14296.01
Number of Payment Denials
0
Total Number of Penalties
3