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Chatsworth Health Care Center - Chatsworth Nursing Home

General Information

UPDATE
Federal Provider Number
115280
Provider Name
CHATSWORTH HEALTH CARE CENTER
Provider Address
102 HOSPITAL DRIVE
CHATSWORTH, GA 30705
Provider Phone Number
7066958313
Provider SSA County
772
Provider County Name
Murray
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHATSWORTH HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1981-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19184
Reported LPN Staffing Hours per Resident per Day
1.00204
Reported RN Staffing Hours per Resident per Day
0.42245
Reported Licensed Staffing Hours per Resident per Day
1.42449
Reported Total Nurse Staffing Hours per Resident per Day
3.61633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04235
Expected CNA Staffing Hours per Resident per Day
2.31010
Expected LPN Staffing Hours per Resident per Day
0.62770
Expected RN Staffing Hours per Resident per Day
0.92315
Expected Total Nurse Staffing Hours per Resident per Day
3.86095
Adjusted CNA Staffing Hours per Resident per Day
2.32809
Adjusted LPN Staffing Hours per Resident per Day
1.32499
Adjusted RN Staffing Hours per Resident per Day
0.34193
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77551
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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