Folkston Park - Folkston Nursing Home
General Information
UPDATEFederal Provider Number
115630
Provider Name
FOLKSTON PARK
Provider Address
36261 NORTH OKEFENOKEE DRIVE
FOLKSTON, GA 31537
FOLKSTON, GA 31537
Provider Phone Number
(912) 496-7396
Provider SSA County
210
Provider County Name
Charlton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE CHARLTON HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1997-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.97432
Reported LPN Staffing Hours per Resident per Day
1.01149
Reported RN Staffing Hours per Resident per Day
0.46419
Reported Licensed Staffing Hours per Resident per Day
1.47568
Reported Total Nurse Staffing Hours per Resident per Day
3.45000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07703
Expected CNA Staffing Hours per Resident per Day
2.47379
Expected LPN Staffing Hours per Resident per Day
0.66539
Expected RN Staffing Hours per Resident per Day
1.08241
Expected Total Nurse Staffing Hours per Resident per Day
4.22159
Adjusted CNA Staffing Hours per Resident per Day
1.95828
Adjusted LPN Staffing Hours per Resident per Day
1.26173
Adjusted RN Staffing Hours per Resident per Day
0.32044
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29416
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
2015-01-29
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
28.00000
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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