Elberta Health Care - Warner Robins Nursing Home
General Information
UPDATEFederal Provider Number
115657
Provider Name
ELBERTA HEALTH CARE
Provider Address
419 ELBERTA ROAD
WARNER ROBINS, GA 31093
WARNER ROBINS, GA 31093
Provider Phone Number
(478) 923-3146
Provider SSA County
600
Provider County Name
Houston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELBERTA HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.72727
Reported LPN Staffing Hours per Resident per Day
0.81000
Reported RN Staffing Hours per Resident per Day
0.31545
Reported Licensed Staffing Hours per Resident per Day
1.12545
Reported Total Nurse Staffing Hours per Resident per Day
2.85272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13727
Expected CNA Staffing Hours per Resident per Day
2.35108
Expected LPN Staffing Hours per Resident per Day
0.60280
Expected RN Staffing Hours per Resident per Day
1.05123
Expected Total Nurse Staffing Hours per Resident per Day
4.00510
Adjusted CNA Staffing Hours per Resident per Day
1.80267
Adjusted LPN Staffing Hours per Resident per Day
1.11530
Adjusted RN Staffing Hours per Resident per Day
0.22422
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87110
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
2015-01-15
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
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
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.66700
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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