Cleveland Pines
Cleveland Pines Information
| Facility Name | Cleveland Pines |
| Location | 1404 N Lafayette Street, Shelby, NC 28150 |
| County (SSA Code) | Cleveland (220) |
| Phone Number | 980-487-1500 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 100 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | AHSNF, INC. |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1988-06-30 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.95723 |
| Reported LPN Staffing Hours per Resident per Day | 0.99312 |
| Reported RN Staffing - Hours per Resident per Day | 0.40312 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.39624 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.35347 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04963 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.15853 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76223 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36053 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.28129 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.25832 |
| Total Weighted Health Survey Score for three cycles | 32 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-01 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-22 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-27 |
| Rating cycle 3 - Health Deficiency Score | 88 |
| Rating cycle 3 - Total Health Inspection Score | 88 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 9 |
| Number of Substantiated Complaints | 9 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |