East Lake Arbor - Decatur Nursing Home
General Information
UPDATEFederal Provider Number
115482
Provider Name
EAST LAKE ARBOR
Provider Address
304 FIFTH AVENUE
DECATUR, GA 30030
DECATUR, GA 30030
Provider Phone Number
(404) 373-6231
Provider SSA County
370
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTLAKE ARBOR HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.50056
Reported LPN Staffing Hours per Resident per Day
0.96111
Reported RN Staffing Hours per Resident per Day
0.31167
Reported Licensed Staffing Hours per Resident per Day
1.27278
Reported Total Nurse Staffing Hours per Resident per Day
3.77334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01833
Expected CNA Staffing Hours per Resident per Day
2.06900
Expected LPN Staffing Hours per Resident per Day
0.57328
Expected RN Staffing Hours per Resident per Day
0.88432
Expected Total Nurse Staffing Hours per Resident per Day
3.52660
Adjusted CNA Staffing Hours per Resident per Day
2.96550
Adjusted LPN Staffing Hours per Resident per Day
1.39150
Adjusted RN Staffing Hours per Resident per Day
0.26334
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31292
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
2014-03-20
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2010-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
27.33300
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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