Cherry Blossom Health And Rehabilitation - Macon Nursing Home
General Information
UPDATEFederal Provider Number
115652
Provider Name
CHERRY BLOSSOM HEALTH AND REHABILITATION
Provider Address
3520 KENNETH DRIVE
MACON, GA 31206
MACON, GA 31206
Provider Phone Number
(478) 781-7553
Provider SSA County
90
Provider County Name
Bibb
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
82
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHERRY BLOSSOM HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.94853
Reported LPN Staffing Hours per Resident per Day
0.85515
Reported RN Staffing Hours per Resident per Day
0.43971
Reported Licensed Staffing Hours per Resident per Day
1.29485
Reported Total Nurse Staffing Hours per Resident per Day
3.24339
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05809
Expected CNA Staffing Hours per Resident per Day
2.73841
Expected LPN Staffing Hours per Resident per Day
0.67230
Expected RN Staffing Hours per Resident per Day
0.94843
Expected Total Nurse Staffing Hours per Resident per Day
4.35914
Adjusted CNA Staffing Hours per Resident per Day
1.74594
Adjusted LPN Staffing Hours per Resident per Day
1.05574
Adjusted RN Staffing Hours per Resident per Day
0.34642
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99916
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
2014-11-13
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
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
2013-02-28
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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