Union County Nursing Home - Blairsville Nursing Home
General Information
UPDATEFederal Provider Number
115695
Provider Name
UNION COUNTY NURSING HOME
Provider Address
164 NURSING HOME CIRCLE
BLAIRSVILLE, GA 30512
BLAIRSVILLE, GA 30512
Provider Phone Number
7067454948
Provider SSA County
913
Provider County Name
Union
Ownership Type
Non profit - Other
Number of Certified Beds
150
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
UNION COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
2005-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.92482
Reported LPN Staffing Hours per Resident per Day
1.04716
Reported RN Staffing Hours per Resident per Day
0.39716
Reported Licensed Staffing Hours per Resident per Day
1.44433
Reported Total Nurse Staffing Hours per Resident per Day
4.36914
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06383
Expected CNA Staffing Hours per Resident per Day
2.58451
Expected LPN Staffing Hours per Resident per Day
0.66902
Expected RN Staffing Hours per Resident per Day
0.90926
Expected Total Nurse Staffing Hours per Resident per Day
4.16279
Adjusted CNA Staffing Hours per Resident per Day
2.77679
Adjusted LPN Staffing Hours per Resident per Day
1.29913
Adjusted RN Staffing Hours per Resident per Day
0.32637
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23071
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-14
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.00000
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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