Autumn Care Of Statesville
Autumn Care Of Statesville Information
| Facility Name | Autumn Care Of Statesville |
| Location | 2001 Vanhaven Drive, Statesville, NC 28625 |
| County (SSA Code) | Iredell (480) |
| Phone Number | 704-883-9700 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 103 |
| Average Number of Residents | 80.2 |
| 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 | Both |
| Provider Business Name | AUTUMN CARE OF STATESVILLE LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 2001-12-19 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.77745 |
| Reported LPN Staffing Hours per Resident per Day | 1.00663 |
| Reported RN Staffing - Hours per Resident per Day | 0.62344 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.63007 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.40752 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.12306 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.26753 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.77509 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.39256 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.43518 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.16252 |
| Total Weighted Health Survey Score for three cycles | 50.5 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-16 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 72 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-31 |
| Rating cycle 2 - Health Deficiency Score | 72 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-03-02 |
| Rating cycle 3 - Health Deficiency Score | 111 |
| Rating cycle 3 - Total Health Inspection Score | 111 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 11 |
| Number of Substantiated Complaints | 11 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 17099 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |