Cook Senior Living Center - Adel Nursing Home
General Information
UPDATEFederal Provider Number
115655
Provider Name
COOK SENIOR LIVING CENTER
Provider Address
706 NORTH PARRISH AVE .
ADEL, GA 31620
ADEL, GA 31620
Provider Phone Number
(229) 896-8157
Provider SSA County
311
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
95
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TIFT REGIONAL MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1998-09-01
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13516
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.57747
Reported Licensed Staffing Hours per Resident per Day
0.57747
Reported Total Nurse Staffing Hours per Resident per Day
2.71263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05495
Expected CNA Staffing Hours per Resident per Day
2.49750
Expected LPN Staffing Hours per Resident per Day
0.63686
Expected RN Staffing Hours per Resident per Day
0.90851
Expected Total Nurse Staffing Hours per Resident per Day
4.04287
Adjusted CNA Staffing Hours per Resident per Day
2.09772
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.47494
Adjusted Total Nurse Staffing Hours per Resident per Day
2.70460
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
487
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
487
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
266.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
47873
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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