With a score of 76/100 and a B grade, College Pines Health And Rehabilitation is a well-regarded option in Connelly Springs, North Carolina. The facility performs above average in most CMS categories, placing it in the 80th percentile statewide.
Staffing at College Pines Health And Rehabilitation is near the national average, with 3.90 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 4 deficiencies at College Pines Health And Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.90 | 3.8 | Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.83 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.59 | 2.4 | Average |
| Weekend Total Nursing | 3.21 | 3.8 | Below Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (4 shown)
- Tag 0580 Severity JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Mar 5, 2024 · Resident Rights Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 5, 2024 · Quality of Life and Care Deficiencies
- Tag 0867 Severity DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Mar 5, 2024 · Administration Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Nov 29, 2023 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.6% | 4.5% | Better |
| Falls with major injury | 5.0% | 3.0% | Worse |
| On antipsychotic medication | 2.6% | 14.5% | Better |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 1.9% | 14.0% | Better |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 6.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $16,801
How This Grade Was Calculated
This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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