Chaplinwood Nursing Home - Milledgeville Nursing Home
General Information
UPDATEFederal Provider Number
115477
Provider Name
CHAPLINWOOD NURSING HOME
Provider Address
325 ALLEN MEMORIAL DRIVE SW
MILLEDGEVILLE, GA 31061
MILLEDGEVILLE, GA 31061
Provider Phone Number
(478) 453-8514
Provider SSA County
30
Provider County Name
Baldwin
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAPLINWOOD NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-27
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
3
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
2.28138
Reported LPN Staffing Hours per Resident per Day
0.99734
Reported RN Staffing Hours per Resident per Day
0.25745
Reported Licensed Staffing Hours per Resident per Day
1.25479
Reported Total Nurse Staffing Hours per Resident per Day
3.53617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.57997
Expected LPN Staffing Hours per Resident per Day
0.67684
Expected RN Staffing Hours per Resident per Day
0.98648
Expected Total Nurse Staffing Hours per Resident per Day
4.24329
Adjusted CNA Staffing Hours per Resident per Day
2.16972
Adjusted LPN Staffing Hours per Resident per Day
1.22303
Adjusted RN Staffing Hours per Resident per Day
0.19500
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35918
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2012-09-20
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
2011-03-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.66700
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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