Enfield Oaks Nursing and Rehabilitation Center
208 Cary Street, Enfield, NC 27823


Enfield Oaks Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 345101. The address is 208 Cary Street, Enfield, NC 27823. The zip code is 27823. The phone number is 2524452111.


Enfield Oaks Nursing and Rehabilitation Center · 208 Cary Street, Enfield, NC 27823

Federal Provider Number 345101
Provider Name ENFIELD OAKS NURSING AND REHABILITATION CENTER
Address 208 CARY STREET
ENFIELD, NC 27823
Phone Number 2524452111
SSA County Code 410
County Name Halifax
Ownership Type For profit - Corporation
Certified Beds 63
Certified Beds Residents 41
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EAGLE PEAK LTC GROUP, LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1973
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 1
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2
Reported LPN Staffing Hours per Resident per Day 0.94512
Reported RN Staffing Hours per Resident per Day 0.4
Reported Licensed Staffing Hours per Resident per Day 1.34512
Reported Total Nurse Staffing Hours per Resident per Day 3.34512
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03659
Expected CNA Staffing Hours per Resident per Day 2.5601
Expected LPN Staffing Hours per Resident per Day 0.67006
Expected RN Staffing Hours per Resident per Day 1.02184
Expected Total Nurse Staffing Hours per Resident per Day 4.25201
Adjusted CNA Staffing Hours per Resident per Day 1.91688
Adjusted LPN Staffing Hours per Resident per Day 1.17071
Adjusted RN Staffing Hours per Resident per Day 0.29249
Adjusted Total Nurse Staffing Hours per Resident per Day 3.17117
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 06/11/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 58
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 1
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Enfield Oaks Nursing and Rehabilitation Center

Owner Name Role Association Date
GIBBONS, BECKY (Individual) OFFICER since 11/01/2013
GIBBONS, BECKY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/27/2013
HARRIS, DESTINY (Individual) DIRECTOR since 05/12/2014
HARRIS, DESTINY (Individual) MANAGING EMPLOYEE since 05/12/2014
HARRIS, DESTINY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/12/2014
HILL, RAYMOND (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
since 01/01/2011
HILL, RAYMOND (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2011
HILL, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 01/01/2011
HILL, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2011
HILL, STEPHEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 01/01/2011
JOHNSON, DIANNE (Individual) OFFICER since 01/01/2011
PRINCIPLE IT SERVICES, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
PRINCIPLE LONG TERM CARE, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
PRINCIPLE LONG TERM CARE, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2011
UZZELL, NORWOOD (Individual) OFFICER since 01/01/2011
UZZELL, NORWOOD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2011
YATES, LISA (Individual) DIRECTOR since 01/01/2011
YATES, LISA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2011

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