Appling Nursing And Rehabilitation Pavilion - Baxley Nursing Home
General Information
UPDATEFederal Provider Number
115262
Provider Name
APPLING NURSING AND REHABILITATION PAVILION
Provider Address
163 EAST TOLLISON STREET
BAXLEY, GA 31513
BAXLEY, GA 31513
Provider Phone Number
9123679841
Provider SSA County
0
Provider County Name
Appling
Ownership Type
Government - City/county
Number of Certified Beds
101
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
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
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19343
Reported LPN Staffing Hours per Resident per Day
1.49697
Reported RN Staffing Hours per Resident per Day
0.48131
Reported Licensed Staffing Hours per Resident per Day
1.97828
Reported Total Nurse Staffing Hours per Resident per Day
4.17171
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11566
Expected CNA Staffing Hours per Resident per Day
1.93606
Expected LPN Staffing Hours per Resident per Day
0.55975
Expected RN Staffing Hours per Resident per Day
0.74658
Expected Total Nurse Staffing Hours per Resident per Day
3.24238
Adjusted CNA Staffing Hours per Resident per Day
2.77989
Adjusted LPN Staffing Hours per Resident per Day
2.21972
Adjusted RN Staffing Hours per Resident per Day
0.48171
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18623
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
2014-08-14
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
44
Cycle 2 Standard Health Survey Date
2012-09-20
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
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
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