Northchase Nursing and Rehabilitation Center
3015 Enterprise Drive, Wilmington, NC 28405


Northchase Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 345119. The address is 3015 Enterprise Drive, Wilmington, NC 28405. The zip code is 28405. The phone number is 9107913451.


Northchase Nursing and Rehabilitation Center · 3015 Enterprise Drive, Wilmington, NC 28405

Federal Provider Number 345119
Provider Name NORTHCHASE NURSING AND REHABILITATION CENTER
Address 3015 ENTERPRISE DRIVE
WILMINGTON, NC 28405
Phone Number 9107913451
SSA County Code 640
County Name New Hanover
Ownership Type For profit - Corporation
Certified Beds 140
Certified Beds Residents 117
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name REDWOOD LTC GROUP, LLC
Date First Approved to Provide Medicare Medicaid Services 08/01/1979
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 2
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.42821
Reported LPN Staffing Hours per Resident per Day 0.7547
Reported RN Staffing Hours per Resident per Day 0.43846
Reported Licensed Staffing Hours per Resident per Day 1.19316
Reported Total Nurse Staffing Hours per Resident per Day 3.62137
Reported Physical Therapist Staffing Hours per Resident Per Day 0.16111
Expected CNA Staffing Hours per Resident per Day 2.4083
Expected LPN Staffing Hours per Resident per Day 0.69075
Expected RN Staffing Hours per Resident per Day 1.23711
Expected Total Nurse Staffing Hours per Resident per Day 4.33615
Adjusted CNA Staffing Hours per Resident per Day 2.47399
Adjusted LPN Staffing Hours per Resident per Day 0.90685
Adjusted RN Staffing Hours per Resident per Day 0.26483
Adjusted Total Nurse Staffing Hours per Resident per Day 3.36644
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 5
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 12/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 02/19/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 05/20/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 56.667
Number of Substantiated Complaints 15
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Northchase Nursing and Rehabilitation Center

Owner Name Role Association Date
GIBBONS, BECKY (Individual) MANAGING EMPLOYEE since 10/18/2013
GIBBONS, BECKY (Individual) OFFICER since 01/01/2014
HILL, RAYMOND (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
HILL, ROBERT (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
HILL, STEPHEN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2011
JOHNSON, DIANNE (Individual) DIRECTOR since 01/01/2011
MULLINIX, MELTON (Individual) MANAGING EMPLOYEE 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
STATON, LEDEL (Individual) MANAGING EMPLOYEE since 01/01/2011
TATUM, LISA (Individual) MANAGING EMPLOYEE since 05/07/2012
UZZELL, NORWOOD (Individual) DIRECTOR since 01/01/2011
UZZELL, NORWOOD (Individual) MANAGING EMPLOYEE since 01/01/2011

street_number: 3015
route: Enterprise Drive (Enterprise Dr)
locality, political: Wilmington
admin_level_3, political: Cape Fear
admin_level_2, political: New Hanover County
admin_level_1, political: North Carolina (NC)
country, political: United States (US)
postal_code: 28405
postal_code_suffix: 2116
types : premise
latitude: 34.3062005
longitude: -77.8764352
latlng: (34.3062005, -77.8764352)


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