Georgia Nursing Homes >> Rome Nursing Homes >> Fifth Avenue Health Care

Fifth Avenue Health Care - Rome Nursing Home

General Information

UPDATE
Federal Provider Number
115319
Provider Name
FIFTH AVENUE HEALTH CARE
Provider Address
505 NORTH FIFTH AVENUE
ROME, GA 30165
Provider Phone Number
(706) 291-0521
Provider SSA County
460
Provider County Name
Floyd
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH GA CARE SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-10-13
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.64885
Reported LPN Staffing Hours per Resident per Day
0.92931
Reported RN Staffing Hours per Resident per Day
0.47356
Reported Licensed Staffing Hours per Resident per Day
1.40287
Reported Total Nurse Staffing Hours per Resident per Day
4.05172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04770
Expected CNA Staffing Hours per Resident per Day
2.60570
Expected LPN Staffing Hours per Resident per Day
0.64243
Expected RN Staffing Hours per Resident per Day
1.02924
Expected Total Nurse Staffing Hours per Resident per Day
4.27737
Adjusted CNA Staffing Hours per Resident per Day
2.49434
Adjusted LPN Staffing Hours per Resident per Day
1.20064
Adjusted RN Staffing Hours per Resident per Day
0.34379
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81826
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
2014-07-24
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
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
2012-10-25
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-05-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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