Carlyle Place - Macon Nursing Home
General Information
UPDATEFederal Provider Number
115680
Provider Name
CARLYLE PLACE
Provider Address
5300 ZEBULON ROAD
MACON, GA 31210
MACON, GA 31210
Provider Phone Number
(478) 405-4500
Provider SSA County
90
Provider County Name
Bibb
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CENTRAL GEORGIA SENIOR HEALTH, INC.
Date First Approved to Provide Medicare and Medicaid services
2002-12-09
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.63286
Reported LPN Staffing Hours per Resident per Day
1.79571
Reported RN Staffing Hours per Resident per Day
0.91286
Reported Licensed Staffing Hours per Resident per Day
2.70857
Reported Total Nurse Staffing Hours per Resident per Day
5.34143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16286
Expected CNA Staffing Hours per Resident per Day
2.73494
Expected LPN Staffing Hours per Resident per Day
0.64293
Expected RN Staffing Hours per Resident per Day
0.98317
Expected Total Nurse Staffing Hours per Resident per Day
4.36103
Adjusted CNA Staffing Hours per Resident per Day
2.36212
Adjusted LPN Staffing Hours per Resident per Day
2.31821
Adjusted RN Staffing Hours per Resident per Day
0.69377
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93708
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-19
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
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
2013-11-14
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
16.66700
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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