Azalea Trace Nursing Center - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
115478
Provider Name
AZALEA TRACE NURSING CENTER
Provider Address
910 TALBOTTON RD
COLUMBUS, GA 31904
COLUMBUS, GA 31904
Provider Phone Number
(706) 323-9513
Provider SSA County
780
Provider County Name
Muscogee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOSPITAL AUTHORITY OF COLUMBUS GA
Date First Approved to Provide Medicare and Medicaid services
1989-11-01
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
1
QM Rating Footnote
Staffing Rating
2
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
2.31776
Reported LPN Staffing Hours per Resident per Day
0.97710
Reported RN Staffing Hours per Resident per Day
0.37383
Reported Licensed Staffing Hours per Resident per Day
1.35093
Reported Total Nurse Staffing Hours per Resident per Day
3.66869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02009
Expected CNA Staffing Hours per Resident per Day
2.49838
Expected LPN Staffing Hours per Resident per Day
0.71769
Expected RN Staffing Hours per Resident per Day
0.96870
Expected Total Nurse Staffing Hours per Resident per Day
4.18478
Adjusted CNA Staffing Hours per Resident per Day
2.27631
Adjusted LPN Staffing Hours per Resident per Day
1.13000
Adjusted RN Staffing Hours per Resident per Day
0.28835
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53379
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2010-09-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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