Georgia Nursing Homes >> Carrollton Nursing Homes >> Carrollton Manor, Incorporated

Carrollton Manor, Incorporated - Carrollton Nursing Home

General Information

UPDATE
Federal Provider Number
115638
Provider Name
CARROLLTON MANOR, INCORPORATED
Provider Address
2455 OAK GROVE CHURCH ROAD
CARROLLTON, GA 30117
Provider Phone Number
(770) 834-1737
Provider SSA County
190
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARROLLTON MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1997-03-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35255
Reported LPN Staffing Hours per Resident per Day
0.78724
Reported RN Staffing Hours per Resident per Day
0.40918
Reported Licensed Staffing Hours per Resident per Day
1.19643
Reported Total Nurse Staffing Hours per Resident per Day
3.54897
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05816
Expected CNA Staffing Hours per Resident per Day
2.44031
Expected LPN Staffing Hours per Resident per Day
0.64440
Expected RN Staffing Hours per Resident per Day
1.08709
Expected Total Nurse Staffing Hours per Resident per Day
4.17180
Adjusted CNA Staffing Hours per Resident per Day
2.36546
Adjusted LPN Staffing Hours per Resident per Day
1.01398
Adjusted RN Staffing Hours per Resident per Day
0.28125
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42911
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
2014-03-27
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
11.33300
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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