Georgia Nursing Homes >> Buchanan Nursing Homes >> Countryside Health Center

Countryside Health Center - Buchanan Nursing Home

General Information

UPDATE
Federal Provider Number
115592
Provider Name
COUNTRYSIDE HEALTH CENTER
Provider Address
233 CARROLLTON STREET
BUCHANAN, GA 30113
Provider Phone Number
(770) 646-3861
Provider SSA County
570
Provider County Name
Haralson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRYSIDE NURSING LLC
Date First Approved to Provide Medicare and Medicaid services
1995-09-12
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.08600
Reported LPN Staffing Hours per Resident per Day
0.81200
Reported RN Staffing Hours per Resident per Day
0.35200
Reported Licensed Staffing Hours per Resident per Day
1.16400
Reported Total Nurse Staffing Hours per Resident per Day
3.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.37936
Expected LPN Staffing Hours per Resident per Day
0.73066
Expected RN Staffing Hours per Resident per Day
1.14649
Expected Total Nurse Staffing Hours per Resident per Day
4.25651
Adjusted CNA Staffing Hours per Resident per Day
2.15118
Adjusted LPN Staffing Hours per Resident per Day
0.92239
Adjusted RN Staffing Hours per Resident per Day
0.22941
Adjusted Total Nurse Staffing Hours per Resident per Day
3.07774
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
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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