Calhoun Nursing Home - Edison Nursing Home
General Information
UPDATEFederal Provider Number
115264
Provider Name
CALHOUN NURSING HOME
Provider Address
265 TURNER STREET
EDISON, GA 39846
EDISON, GA 39846
Provider Phone Number
(229) 835-2251
Provider SSA County
161
Provider County Name
Calhoun
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.41140
Reported LPN Staffing Hours per Resident per Day
1.00088
Reported RN Staffing Hours per Resident per Day
0.59737
Reported Licensed Staffing Hours per Resident per Day
1.59825
Reported Total Nurse Staffing Hours per Resident per Day
4.00965
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01404
Expected CNA Staffing Hours per Resident per Day
2.47446
Expected LPN Staffing Hours per Resident per Day
0.72542
Expected RN Staffing Hours per Resident per Day
1.02562
Expected Total Nurse Staffing Hours per Resident per Day
4.22549
Adjusted CNA Staffing Hours per Resident per Day
2.39117
Adjusted LPN Staffing Hours per Resident per Day
1.14518
Adjusted RN Staffing Hours per Resident per Day
0.43521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82500
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
8
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-10-04
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4615
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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