Willow Ridge of Nc
237 Tryon Road, Rutherfordton, NC 28139


Willow Ridge of Nc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 345197. The address is 237 Tryon Road, Rutherfordton, NC 28139. The zip code is 28139. The phone number is 8282867200.


Willow Ridge of Nc · 237 Tryon Road, Rutherfordton, NC 28139

Federal Provider Number 345197
Provider Name WILLOW RIDGE OF NC
Address 237 TRYON ROAD
RUTHERFORDTON, NC 28139
Phone Number 8282867200
SSA County Code 800
County Name Rutherford
Ownership Type For profit - Corporation
Certified Beds 150
Certified Beds Residents 127
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WILLOW RIDGE HEALTHCARE LLC
Date First Approved to Provide Medicare Medicaid Services 03/06/1980
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 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.14685
Reported LPN Staffing Hours per Resident per Day 0.69606
Reported RN Staffing Hours per Resident per Day 0.67677
Reported Licensed Staffing Hours per Resident per Day 1.37283
Reported Total Nurse Staffing Hours per Resident per Day 3.51968
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08425
Expected CNA Staffing Hours per Resident per Day 2.31801
Expected LPN Staffing Hours per Resident per Day 0.61274
Expected RN Staffing Hours per Resident per Day 1.03405
Expected Total Nurse Staffing Hours per Resident per Day 3.9648
Adjusted CNA Staffing Hours per Resident per Day 2.27252
Adjusted LPN Staffing Hours per Resident per Day 0.94286
Adjusted RN Staffing Hours per Resident per Day 0.48903
Adjusted Total Nurse Staffing Hours per Resident per Day 3.57836
Cycle 1 Total Number of Health Deficiencies 20
Cycle 1 Number of Standard Health Deficiencies 13
Cycle 1 Number of Complaint Health Deficiencies 8
Cycle 1 Health Deficiency Score 116
Cycle 1 Standard Survey Health Date 11/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 116
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 10/01/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 123
Cycle 3 Standard Health Survey Date 09/24/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 123
Total Weighted Health Survey Score 82.5
Number of Substantiated Complaints 10
Number of Fines 1
Total Amount of Fines in Dollars $7500.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Willow Ridge of Nc

Owner Name Role Association Date
BEALER, ADAM R (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2015
CHH HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/01/2016
CONGRESSIONAL BANK (Organization) 5% OR GREATER SECURITY INTEREST since 06/01/2016
STERN, JACOB (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/01/2016
STERN, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/01/2016
STERN, JACOB (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2016
WILLOW RIDGE HEALTHCARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/01/2016
WILLOW RIDGE HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2016

street_number: 237
route: Tryon Road (Tryon Rd)
locality, political: Rutherfordton
admin_level_3, political: Rutherfordton
admin_level_2, political: Rutherford County
admin_level_1, political: North Carolina (NC)
country, political: United States (US)
postal_code: 28139
postal_code_suffix: 3058
types : premise
latitude: 35.3634166
longitude: -81.9696855
latlng: (35.3634166, -81.9696855)


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