Four County Health And Rehabilitation - Richland Nursing Home
General Information
UPDATEFederal Provider Number
115481
Provider Name
FOUR COUNTY HEALTH AND REHABILITATION
Provider Address
124 OVERBY DRIVE
RICHLAND, GA 31825
RICHLAND, GA 31825
Provider Phone Number
(229) 887-2021
Provider SSA County
862
Provider County Name
Stewart
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
85
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUR COUNTY HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
4
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
1.96807
Reported LPN Staffing Hours per Resident per Day
0.97952
Reported RN Staffing Hours per Resident per Day
0.38434
Reported Licensed Staffing Hours per Resident per Day
1.36386
Reported Total Nurse Staffing Hours per Resident per Day
3.33193
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48162
Expected LPN Staffing Hours per Resident per Day
0.75856
Expected RN Staffing Hours per Resident per Day
1.04783
Expected Total Nurse Staffing Hours per Resident per Day
4.28801
Adjusted CNA Staffing Hours per Resident per Day
1.94593
Adjusted LPN Staffing Hours per Resident per Day
1.07178
Adjusted RN Staffing Hours per Resident per Day
0.27407
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13215
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2010-06-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
10.00000
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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