Georgian Gardens - Potosi Nursing Home

General Information

UPDATE
Federal Provider Number
265516
Provider Name
GEORGIAN GARDENS
Provider Address
1 GEORGIAN GARDENS DRIVE
POTOSI, MO 63664
Provider Phone Number
(573) 438-6261
Provider SSA County
992
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHGG, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-11-20
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.10574
Reported LPN Staffing Hours per Resident per Day
0.43115
Reported RN Staffing Hours per Resident per Day
0.33689
Reported Licensed Staffing Hours per Resident per Day
0.76803
Reported Total Nurse Staffing Hours per Resident per Day
2.87378
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04672
Expected CNA Staffing Hours per Resident per Day
2.23816
Expected LPN Staffing Hours per Resident per Day
0.63918
Expected RN Staffing Hours per Resident per Day
0.96873
Expected Total Nurse Staffing Hours per Resident per Day
3.84607
Adjusted CNA Staffing Hours per Resident per Day
2.30853
Adjusted LPN Staffing Hours per Resident per Day
0.55987
Adjusted RN Staffing Hours per Resident per Day
0.25985
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01188
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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Potosi Manor, Inc

307 South Highway 21 | POTOSI MO 63664 | 0.8 mile away