Chestnut Ridge Nsg & Rehab Ctr - Cumming Nursing Home
General Information
UPDATEFederal Provider Number
115423
Provider Name
CHESTNUT RIDGE NSG & REHAB CTR
Provider Address
125 SAMARITAN DRIVE
CUMMING, GA 30040
CUMMING, GA 30040
Provider Phone Number
(770) 889-0120
Provider SSA County
461
Provider County Name
Forsyth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHESTNUT RIDGE CYPRESS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.85956
Reported LPN Staffing Hours per Resident per Day
0.72096
Reported RN Staffing Hours per Resident per Day
0.41654
Reported Licensed Staffing Hours per Resident per Day
1.13750
Reported Total Nurse Staffing Hours per Resident per Day
2.99706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08235
Expected CNA Staffing Hours per Resident per Day
2.50635
Expected LPN Staffing Hours per Resident per Day
0.67469
Expected RN Staffing Hours per Resident per Day
1.08861
Expected Total Nurse Staffing Hours per Resident per Day
4.26965
Adjusted CNA Staffing Hours per Resident per Day
1.82050
Adjusted LPN Staffing Hours per Resident per Day
0.88693
Adjusted RN Staffing Hours per Resident per Day
0.28590
Adjusted Total Nurse Staffing Hours per Resident per Day
2.82947
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
8
Cycle 1 Standard Survey Health Date
2014-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
41503
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Cumming Nursing Center
2775 Castleberry Road |
CUMMING GA 30041 | 1 mile away