Clinch Healthcare Center - Homerville Nursing Home
General Information
UPDATEFederal Provider Number
115635
Provider Name
CLINCH HEALTHCARE CENTER
Provider Address
390 SWEAT STREET
HOMERVILLE, GA 31634
HOMERVILLE, GA 31634
Provider Phone Number
9124875328
Provider SSA County
281
Provider County Name
Clinch
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLINCH HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95000
Reported LPN Staffing Hours per Resident per Day
0.97273
Reported RN Staffing Hours per Resident per Day
0.22273
Reported Licensed Staffing Hours per Resident per Day
1.19545
Reported Total Nurse Staffing Hours per Resident per Day
3.14546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04318
Expected CNA Staffing Hours per Resident per Day
2.41497
Expected LPN Staffing Hours per Resident per Day
0.67042
Expected RN Staffing Hours per Resident per Day
1.05352
Expected Total Nurse Staffing Hours per Resident per Day
4.13891
Adjusted CNA Staffing Hours per Resident per Day
1.98127
Adjusted LPN Staffing Hours per Resident per Day
1.20426
Adjusted RN Staffing Hours per Resident per Day
0.15797
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06337
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
12
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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