Gibson Health And Rehabilitation - Gibson Nursing Home

General Information

UPDATE
Federal Provider Number
115613
Provider Name
GIBSON HEALTH AND REHABILITATION
Provider Address
434 BEALL SPRINGS ROAD
GIBSON, GA 30810
Provider Phone Number
(706) 598-3201
Provider SSA County
480
Provider County Name
Glascock
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLASCOCK COUNTY HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1996-10-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.00000
Reported LPN Staffing Hours per Resident per Day
0.88118
Reported RN Staffing Hours per Resident per Day
0.41353
Reported Licensed Staffing Hours per Resident per Day
1.29471
Reported Total Nurse Staffing Hours per Resident per Day
3.29471
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02176
Expected CNA Staffing Hours per Resident per Day
2.69309
Expected LPN Staffing Hours per Resident per Day
0.65264
Expected RN Staffing Hours per Resident per Day
0.90035
Expected Total Nurse Staffing Hours per Resident per Day
4.24608
Adjusted CNA Staffing Hours per Resident per Day
1.82222
Adjusted LPN Staffing Hours per Resident per Day
1.12065
Adjusted RN Staffing Hours per Resident per Day
0.34319
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12774
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
2014-07-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
10
Cycle 1 Total Health Score
30
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
8
Cycle 3 Standard Health Survey Date
2011-05-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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