Camellia Health & Rehabilitation - Claxton Nursing Home
General Information
UPDATEFederal Provider Number
115598
Provider Name
CAMELLIA HEALTH & REHABILITATION
Provider Address
700 EAST LONG STREET
CLAXTON, GA 30417
CLAXTON, GA 30417
Provider Phone Number
(912) 739-2245
Provider SSA County
441
Provider County Name
Evans
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
87
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVANS COUNTY LTC LLC
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.86806
Reported LPN Staffing Hours per Resident per Day
1.08542
Reported RN Staffing Hours per Resident per Day
0.38056
Reported Licensed Staffing Hours per Resident per Day
1.46597
Reported Total Nurse Staffing Hours per Resident per Day
3.33404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02361
Expected CNA Staffing Hours per Resident per Day
2.25778
Expected LPN Staffing Hours per Resident per Day
0.62685
Expected RN Staffing Hours per Resident per Day
0.93941
Expected Total Nurse Staffing Hours per Resident per Day
3.82404
Adjusted CNA Staffing Hours per Resident per Day
2.03017
Adjusted LPN Staffing Hours per Resident per Day
1.43718
Adjusted RN Staffing Hours per Resident per Day
0.30269
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51439
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
40
Cycle 3 Standard Health Survey Date
2011-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
13.33300
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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