Georgia Nursing Homes >> Springfield Nursing Homes >> Effingham Co Extended Care Fac

Effingham Co Extended Care Fac - Springfield Nursing Home

General Information

UPDATE
Federal Provider Number
115106
Provider Name
EFFINGHAM CO EXTENDED CARE FAC
Provider Address
459 HIGHWAY 119 S
SPRINGFIELD, GA 31329
Provider Phone Number
9127546451
Provider SSA County
421
Provider County Name
Effingham
Ownership Type
Government - County
Number of Certified Beds
105
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
EFFINGHAM COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
1969-08-25
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.08252
Reported LPN Staffing Hours per Resident per Day
0.99320
Reported RN Staffing Hours per Resident per Day
0.51068
Reported Licensed Staffing Hours per Resident per Day
1.50388
Reported Total Nurse Staffing Hours per Resident per Day
4.58640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00922
Expected CNA Staffing Hours per Resident per Day
2.51321
Expected LPN Staffing Hours per Resident per Day
0.61970
Expected RN Staffing Hours per Resident per Day
0.85125
Expected Total Nurse Staffing Hours per Resident per Day
3.98416
Adjusted CNA Staffing Hours per Resident per Day
3.00953
Adjusted LPN Staffing Hours per Resident per Day
1.33026
Adjusted RN Staffing Hours per Resident per Day
0.44826
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64021
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
12
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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