Calhoun Health Care Ctr, Inc - Calhoun Nursing Home

General Information

UPDATE
Federal Provider Number
115340
Provider Name
CALHOUN HEALTH CARE CTR, INC
Provider Address
1387 HIGHWAY 41 NORTH
CALHOUN, GA 30701
Provider Phone Number
(706) 629-1289
Provider SSA County
500
Provider County Name
Gordon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALHOUN HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1986-10-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18933
Reported LPN Staffing Hours per Resident per Day
1.12416
Reported RN Staffing Hours per Resident per Day
0.67022
Reported Licensed Staffing Hours per Resident per Day
1.79438
Reported Total Nurse Staffing Hours per Resident per Day
3.98371
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07865
Expected CNA Staffing Hours per Resident per Day
2.44681
Expected LPN Staffing Hours per Resident per Day
0.65280
Expected RN Staffing Hours per Resident per Day
0.94126
Expected Total Nurse Staffing Hours per Resident per Day
4.04086
Adjusted CNA Staffing Hours per Resident per Day
2.19550
Adjusted LPN Staffing Hours per Resident per Day
1.42931
Adjusted RN Staffing Hours per Resident per Day
0.53204
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97389
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
4
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.66700
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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