Contact Information

AUTUMN CARE OF STATESVILLE
AUTUMN CORPORATION
2001 VANHAVEN DRIVE
STATESVILLE, NC 28625
(704) 883-9700
For profit - Corporation
Medicare certification date2: December 19, 2001
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  88 residents

  103 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 10
Facility reported incidents None
Number of fines 2
Number of penalties 2
Number of payment denials None

Staffing

Staffing for 88 residents North Carolina Average National Average
Hours by Registered Nurse (RN) per resident per day 16 minutes 36 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 14 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 13 minutes 2 hours, 19 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 17 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • SABER HEALTHCARE HOLDINGS, LLC
  • SHG AUTUMN, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • GEORGE S. REPCHICK FAMILY DYNASTY TRUST (DATED JUNE 1, 2011)
  • WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011)

DIRECTOR

  • REPCHICK, GEORGE
  • WEISBERG, WILLIAM

MANAGING EMPLOYEE

  • BOYD, KIMBERLY
  • CHESNEY, THOMAS

OFFICER

  • REPCHICK, GEORGE
  • WEISBERG, WILLIAM

OPERATIONAL/MANAGERIAL CONTROL

  • REPCHICK, GEORGE
  • WEISBERG, WILLIAM

Nursing Home Report

In 2016, AUTUMN CARE OF STATESVILLE charged a total of $5,982,655 for 245 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 27% Alzheimer's 51%
Asthma 41% Cancer 18%
Congestive Heart Failure 49% Kidney Disease 58%
COPD 40% Depression 40%
Diabetes 49% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease 51%
Osteoporosis 19% RA / OA 60%
Schizophrenia 6% Stroke 18%
Demographics
Medicare Beneficiaries 245 Average Age 81
Male 79 Female 166
White 225
Black 18
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Mar 02, 2018; fire safety inspection: Apr 04, 2018

Health Deficiencies as of 03/02/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies 1
Fire Deficiencies as of 04/04/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies 1
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also