Katherine's Place At Wedington is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045434. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 4405 West Persimmon Street, Fayetteville, AR 72704. The overall rating is 3.
| Federal Provider Number | 045434 |
| Provider Name | KATHERINE'S PLACE AT WEDINGTON |
| Legal Business Name | WCNC, INC. |
| Address |
4405 West Persimmon Street Fayetteville AR 72704 |
| County | Washington |
| Telephone | 4794446108 |
| Ownership Type | For profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 2010-08-19 |
| Number of Certified Beds | 119 |
| Average Number of Residents per Day | 104.6 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality Measure Rating | 5 |
| Long Stay Quality Measure Rating | 5 |
| Short Stay Quality Measure Rating | 5 |
| Staffing Rating | 2 |
| Registered Nurses Staffing Rating | 1 |
| Reported CNA Staffing Hours per Resident per Day | 2.14795 |
| Reported LPN Staffing Hours per Resident per Day | 1.00511 |
| Reported RN Staffing Hours per Resident per Day | 0.28388 |
| Reported Licensed Staffing Hours per Resident per Day | 1.28899 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.43695 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01486 |
| Expected CNA Staffing Hours per Resident per Day | 1.84632 |
| Expected LPN Staffing Hours per Resident per Day | 0.63511 |
| Expected RN Staffing Hours per Resident per Day | 0.37365 |
| Expected Total Nurse Staffing Hours per Resident per Day | 2.85508 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.39514 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.17255 |
| Adjusted RN Staffing Hours per Resident per Day | 0.30405 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.85204 |
| Rating Cycle 1 Standard Survey Health Date | 2020-10-02 |
| Rating Cycle 1 Total Number of Health Deficiencies | 12 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 9 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 3 |
| Rating Cycle 1 Health Deficiency Score | 84 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 84 |
| Rating Cycle 2 Standard Health Survey Date | 2019-04-26 |
| Rating Cycle 2 Total Number of Health Deficiencies | 16 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 15 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 1 |
| Rating Cycle 2 Health Deficiency Score | 104 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 104 |
| Rating Cycle 3 Standard Health Survey Date | 2018-06-29 |
| Rating Cycle 3 Total Number of Health Deficiencies | 17 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 10 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 7 |
| Rating Cycle 3 Health Deficiency Score | 116 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 116 |
| Total Weighted Health Survey Score | 96.000 |
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complavarchars | 6 |
| Number of Citations from Infection Control Inspections | 10 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | RHC OPERATIONS, INC | Organization | 100% | since 10/16/2008 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ADAMS, ANTHONY | Individual | 50% | since 10/16/2008 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ADAMS, BRYAN | Individual | 50% | since 10/16/2008 |
| MANAGING EMPLOYEE | LOKER, KAYLA | Individual | since 10/21/2015 | |
| OFFICER | ADAMS, ANTHONY | Individual | since 10/16/2008 | |
| OFFICER | ADAMS, BRYAN | Individual | since 10/16/2008 | |
| OPERATIONAL/MANAGERIAL CONTROL | LOKER, KAYLA | Individual | since 10/21/2015 |
| Street Address |
4405 WEST PERSIMMON STREET |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Village Green Health and Rehabilitation LLC | 1601 Purdue Drive, Fayetteville, NC 28304 | 9104865000 | 1991-07-10 | 3 |
| Arkansas Veterans Home At Fayetteville · State of Arkansas | 1179 North College Avenue, Fayetteville, AR 72703 | 4794447001 | 2007-03-01 | 3 |
| Autumn Care of Fayetteville, LLC | 1401 71st School Road, Fayetteville, NC 28314 | 9108674960 | 2011-03-24 | 4 |
| Condor Health Lafayette · Fayetteville Ga Opco LLC | 110 Brandywine Boulevard, Fayetteville, GA 30214 | 7704612928 | 1989-04-20 | 3 |
| Woodlands Nursing & Rehabilitation Center · Liberty Healthcare Group, LLC | 400 Pelt Drive, Fayetteville, NC 28301 | 9108220515 | 1997-02-27 | 3 |
| Butterfield Trail Village Inc | 1923 East Joyce Blvd, Fayetteville, AR 72703 | 4796958065 | 1986-06-16 | 5 |
| Carolina Rehab Center of Cumberland · Carolina Health Care Center of Cumberland County, Lp | 4600 Cumberland Road, Fayetteville, NC 28306 | 9104291690 | 2000-10-26 | 1 |
| Paramount Nursing and Rehab At Fayetteville, LLC · Paramount Nursing and Rehabilitation At Fayetteville LLC | 6375 Chambersburg Road, Fayetteville, PA 17222 | 7173522721 | 1986-12-01 | 2 |
| Nc State Veterans Home - Fayetteville · Nc Dept of Military and Veterans Affairs Nc Division of Veterans Affai | 214 Cochran Avenue, Fayetteville, NC 28301 | 9104824131 | 1999-05-11 | 5 |
| Elk River Health & Rehabilitation of Fayetteville, LLC | 4081 Thornton Taylor Parkway, Fayetteville, TN 37334 | 9314339973 | 1993-10-01 | 3 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.