Crossview Care Center - Pineview Nursing Home
General Information
UPDATEFederal Provider Number
115541
Provider Name
CROSSVIEW CARE CENTER
Provider Address
402 E. BAY ST
PINEVIEW, GA 31071
PINEVIEW, GA 31071
Provider Phone Number
(229) 624-2437
Provider SSA County
971
Provider County Name
Wilcox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINEVIEW 102 LLC
Date First Approved to Provide Medicare and Medicaid services
1993-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.82857
Reported LPN Staffing Hours per Resident per Day
1.46905
Reported RN Staffing Hours per Resident per Day
1.48571
Reported Licensed Staffing Hours per Resident per Day
2.95476
Reported Total Nurse Staffing Hours per Resident per Day
5.78333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13571
Expected CNA Staffing Hours per Resident per Day
1.97601
Expected LPN Staffing Hours per Resident per Day
0.56147
Expected RN Staffing Hours per Resident per Day
0.87330
Expected Total Nurse Staffing Hours per Resident per Day
3.41078
Adjusted CNA Staffing Hours per Resident per Day
3.51236
Adjusted LPN Staffing Hours per Resident per Day
2.17165
Adjusted RN Staffing Hours per Resident per Day
1.27118
Adjusted Total Nurse Staffing Hours per Resident per Day
6.83482
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2013-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-02-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2010-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.00000
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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