Glenn-mor Nursing Home - Thomasville Nursing Home
General Information
UPDATEFederal Provider Number
115480
Provider Name
GLENN-MOR NURSING HOME
Provider Address
10629 U.S. HIGHWAY 19 SOUTH
THOMASVILLE, GA 31792
THOMASVILLE, GA 31792
Provider Phone Number
(229) 226-8942
Provider SSA County
890
Provider County Name
Thomas
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
64
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.33790
Reported LPN Staffing Hours per Resident per Day
0.79839
Reported RN Staffing Hours per Resident per Day
0.40484
Reported Licensed Staffing Hours per Resident per Day
1.20323
Reported Total Nurse Staffing Hours per Resident per Day
3.54113
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04032
Expected CNA Staffing Hours per Resident per Day
2.56734
Expected LPN Staffing Hours per Resident per Day
0.70256
Expected RN Staffing Hours per Resident per Day
1.16963
Expected Total Nurse Staffing Hours per Resident per Day
4.43952
Adjusted CNA Staffing Hours per Resident per Day
2.23442
Adjusted LPN Staffing Hours per Resident per Day
0.94322
Adjusted RN Staffing Hours per Resident per Day
0.25863
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21520
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
2013-12-19
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-20
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
183
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
92
Cycle 3 Total Health Score
275
Total Weighted Health Survey Score
49.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
261450
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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