Brentwood Health And Rehabilitation - Waynesboro Nursing Home
General Information
UPDATEFederal Provider Number
115361
Provider Name
BRENTWOOD HEALTH AND REHABILITATION
Provider Address
115 BRENTWOOD DRIVE
WAYNESBORO, GA 30830
WAYNESBORO, GA 30830
Provider Phone Number
(706) 554-4425
Provider SSA County
150
Provider County Name
Burke
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
103
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRENTWOOD TERRACE HEALTH CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.23556
Reported LPN Staffing Hours per Resident per Day
1.05000
Reported RN Staffing Hours per Resident per Day
0.35222
Reported Licensed Staffing Hours per Resident per Day
1.40222
Reported Total Nurse Staffing Hours per Resident per Day
3.63778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03667
Expected CNA Staffing Hours per Resident per Day
2.55115
Expected LPN Staffing Hours per Resident per Day
0.62155
Expected RN Staffing Hours per Resident per Day
0.86560
Expected Total Nurse Staffing Hours per Resident per Day
4.03830
Adjusted CNA Staffing Hours per Resident per Day
2.15016
Adjusted LPN Staffing Hours per Resident per Day
1.40214
Adjusted RN Staffing Hours per Resident per Day
0.30404
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63111
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-03-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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