Georgia Manor Nursing Home - Amarillo Nursing Home
General Information
UPDATEFederal Provider Number
675851
Provider Name
GEORGIA MANOR NURSING HOME
Provider Address
2611 W 46TH AVE
AMARILLO, TX 79110
AMARILLO, TX 79110
Provider Phone Number
8063556517
Provider SSA County
871
Provider County Name
Randall
Ownership Type
For profit - Individual
Number of Certified Beds
76
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMARILLO VI ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-11-14
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.16613
Reported LPN Staffing Hours per Resident per Day
1.06048
Reported RN Staffing Hours per Resident per Day
0.44435
Reported Licensed Staffing Hours per Resident per Day
1.50484
Reported Total Nurse Staffing Hours per Resident per Day
3.67096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11048
Expected CNA Staffing Hours per Resident per Day
2.39645
Expected LPN Staffing Hours per Resident per Day
0.61872
Expected RN Staffing Hours per Resident per Day
1.15593
Expected Total Nurse Staffing Hours per Resident per Day
4.17110
Adjusted CNA Staffing Hours per Resident per Day
2.21787
Adjusted LPN Staffing Hours per Resident per Day
1.42261
Adjusted RN Staffing Hours per Resident per Day
0.28723
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54757
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-26
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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