Mcrae Manor Nursing Home - Mc Rae Nursing Home
General Information
UPDATEFederal Provider Number
115494
Provider Name
MCRAE MANOR NURSING HOME
Provider Address
1104 SOUTH FIRST AVE.
MC RAE, GA 31055
MC RAE, GA 31055
Provider Phone Number
2298686473
Provider SSA County
884
Provider County Name
Telfair
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE LEAF INVESTMENT INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.07829
Reported LPN Staffing Hours per Resident per Day
1.13140
Reported RN Staffing Hours per Resident per Day
0.23217
Reported Licensed Staffing Hours per Resident per Day
1.36357
Reported Total Nurse Staffing Hours per Resident per Day
3.44186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00543
Expected CNA Staffing Hours per Resident per Day
2.16362
Expected LPN Staffing Hours per Resident per Day
0.56128
Expected RN Staffing Hours per Resident per Day
0.80885
Expected Total Nurse Staffing Hours per Resident per Day
3.53375
Adjusted CNA Staffing Hours per Resident per Day
2.35693
Adjusted LPN Staffing Hours per Resident per Day
1.67307
Adjusted RN Staffing Hours per Resident per Day
0.21447
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92609
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-10-12
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
48
Cycle 3 Standard Health Survey Date
2011-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Lumber City Nursing & Rehabilitation Center
93 Highway 19 |
LUMBER CITY GA 31549 | 15.8 miles away
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