Joe-anne Burgin Nursing Home - Cuthbert Nursing Home
General Information
UPDATEFederal Provider Number
115272
Provider Name
JOE-ANNE BURGIN NURSING HOME
Provider Address
321 RANDOLPH STREET
CUTHBERT, GA 39840
CUTHBERT, GA 39840
Provider Phone Number
2297322288
Provider SSA County
835
Provider County Name
Randolph
Ownership Type
Government - Hospital district
Number of Certified Beds
80
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Date First Approved to Provide Medicare and Medicaid services
1979-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00455
Reported LPN Staffing Hours per Resident per Day
0.85455
Reported RN Staffing Hours per Resident per Day
0.20584
Reported Licensed Staffing Hours per Resident per Day
1.06039
Reported Total Nurse Staffing Hours per Resident per Day
3.06494
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00974
Expected CNA Staffing Hours per Resident per Day
2.46187
Expected LPN Staffing Hours per Resident per Day
0.57316
Expected RN Staffing Hours per Resident per Day
0.74696
Expected Total Nurse Staffing Hours per Resident per Day
3.78199
Adjusted CNA Staffing Hours per Resident per Day
1.99789
Adjusted LPN Staffing Hours per Resident per Day
1.23748
Adjusted RN Staffing Hours per Resident per Day
0.20591
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26665
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-09-13
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-01-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
13098
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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