Fountainview Ctr For Alzheimer - Atlanta Nursing Home
General Information
UPDATEFederal Provider Number
115697
Provider Name
FOUNTAINVIEW CTR FOR ALZHEIMER
Provider Address
2631 NORTH DRUID HILLS ROAD N E
ATLANTA, GA 30329
ATLANTA, GA 30329
Provider Phone Number
(404) 325-7994
Provider SSA County
370
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUNTAINVIEW CENTER LP
Date First Approved to Provide Medicare and Medicaid services
2005-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.78486
Reported LPN Staffing Hours per Resident per Day
0.98899
Reported RN Staffing Hours per Resident per Day
0.31972
Reported Licensed Staffing Hours per Resident per Day
1.30872
Reported Total Nurse Staffing Hours per Resident per Day
4.09357
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05229
Expected CNA Staffing Hours per Resident per Day
2.65767
Expected LPN Staffing Hours per Resident per Day
0.54118
Expected RN Staffing Hours per Resident per Day
0.76602
Expected Total Nurse Staffing Hours per Resident per Day
3.96486
Adjusted CNA Staffing Hours per Resident per Day
2.57113
Adjusted LPN Staffing Hours per Resident per Day
1.51680
Adjusted RN Staffing Hours per Resident per Day
0.31187
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16175
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
2014-06-19
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
20
Cycle 3 Standard Health Survey Date
2011-03-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
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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