Baptist Village, Inc. - Waycross Nursing Home
General Information
UPDATEFederal Provider Number
115615
Provider Name
BAPTIST VILLAGE, INC.
Provider Address
2650 CARSWELL AVE
WAYCROSS, GA 31502
WAYCROSS, GA 31502
Provider Phone Number
(912) 283-7050
Provider SSA County
940
Provider County Name
Ware
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
254
Number of Residents in Certified Beds
230
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAPTIST VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-09-01
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
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
2.86891
Reported LPN Staffing Hours per Resident per Day
0.87043
Reported RN Staffing Hours per Resident per Day
0.49565
Reported Licensed Staffing Hours per Resident per Day
1.36609
Reported Total Nurse Staffing Hours per Resident per Day
4.23499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06717
Expected CNA Staffing Hours per Resident per Day
2.37892
Expected LPN Staffing Hours per Resident per Day
0.60743
Expected RN Staffing Hours per Resident per Day
0.91002
Expected Total Nurse Staffing Hours per Resident per Day
3.89637
Adjusted CNA Staffing Hours per Resident per Day
2.95909
Adjusted LPN Staffing Hours per Resident per Day
1.18937
Adjusted RN Staffing Hours per Resident per Day
0.40697
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38121
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
12
Cycle 2 Standard Health Survey Date
2012-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-06-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.66700
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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