Eagle Health & Rehabilitation - Statesboro Nursing Home
General Information
UPDATEFederal Provider Number
115618
Provider Name
EAGLE HEALTH & REHABILITATION
Provider Address
405 S COLLEGE ST
STATESBORO, GA 30458
STATESBORO, GA 30458
Provider Phone Number
(912) 764-4575
Provider SSA County
140
Provider County Name
Bulloch
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
99
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BULLOCH COUNTY LTC LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88701
Reported LPN Staffing Hours per Resident per Day
1.05195
Reported RN Staffing Hours per Resident per Day
0.68117
Reported Licensed Staffing Hours per Resident per Day
1.73312
Reported Total Nurse Staffing Hours per Resident per Day
3.62013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15649
Expected CNA Staffing Hours per Resident per Day
2.52907
Expected LPN Staffing Hours per Resident per Day
0.85698
Expected RN Staffing Hours per Resident per Day
1.39963
Expected Total Nurse Staffing Hours per Resident per Day
4.78568
Adjusted CNA Staffing Hours per Resident per Day
1.83077
Adjusted LPN Staffing Hours per Resident per Day
1.01883
Adjusted RN Staffing Hours per Resident per Day
0.36365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04918
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-23
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
32
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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