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Friendship Health And Rehab - Cleveland Nursing Home

General Information

UPDATE
Federal Provider Number
115559
Provider Name
FRIENDSHIP HEALTH AND REHAB
Provider Address
161 FRIENDSHIP ROAD
CLEVELAND, GA 30528
Provider Phone Number
(706) 865-3131
Provider SSA County
963
Provider County Name
White
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDSHIP HEALTH & REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.10127
Reported LPN Staffing Hours per Resident per Day
0.91709
Reported RN Staffing Hours per Resident per Day
0.48038
Reported Licensed Staffing Hours per Resident per Day
1.39747
Reported Total Nurse Staffing Hours per Resident per Day
3.49874
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04051
Expected CNA Staffing Hours per Resident per Day
2.39664
Expected LPN Staffing Hours per Resident per Day
0.61168
Expected RN Staffing Hours per Resident per Day
0.97841
Expected Total Nurse Staffing Hours per Resident per Day
3.98673
Adjusted CNA Staffing Hours per Resident per Day
2.15130
Adjusted LPN Staffing Hours per Resident per Day
1.24441
Adjusted RN Staffing Hours per Resident per Day
0.36686
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53750
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
8
Cycle 1 Standard Survey Health Date
2015-03-12
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-02-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
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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