D Scott Hudgens Center For Skilled Nursing, The - Suwanee Nursing Home
General Information
UPDATEFederal Provider Number
115690
Provider Name
D SCOTT HUDGENS CENTER FOR SKILLED NURSING, THE
Provider Address
3500 ANNANDALE LANE
SUWANEE, GA 30024
SUWANEE, GA 30024
Provider Phone Number
7709323472
Provider SSA County
530
Provider County Name
Gwinnett
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANNANDALE AT SUWANEE INC
Date First Approved to Provide Medicare and Medicaid services
2004-11-18
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.09167
Reported LPN Staffing Hours per Resident per Day
1.68167
Reported RN Staffing Hours per Resident per Day
0.56500
Reported Licensed Staffing Hours per Resident per Day
2.24667
Reported Total Nurse Staffing Hours per Resident per Day
5.33834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13167
Expected CNA Staffing Hours per Resident per Day
2.58064
Expected LPN Staffing Hours per Resident per Day
0.63879
Expected RN Staffing Hours per Resident per Day
0.91414
Expected Total Nurse Staffing Hours per Resident per Day
4.13357
Adjusted CNA Staffing Hours per Resident per Day
2.93959
Adjusted LPN Staffing Hours per Resident per Day
2.18505
Adjusted RN Staffing Hours per Resident per Day
0.46182
Adjusted Total Nurse Staffing Hours per Resident per Day
5.20575
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
2015-02-26
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.00000
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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