Gold City Convalescent Center - Dahlonega Nursing Home
General Information
UPDATEFederal Provider Number
115689
Provider Name
GOLD CITY CONVALESCENT CENTER
Provider Address
222 MOORE DRIVE
DAHLONEGA, GA 30533
DAHLONEGA, GA 30533
Provider Phone Number
(706) 864-3045
Provider SSA County
701
Provider County Name
Lumpkin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL MANAGEMENT CONCEPTS LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-13
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
4
Health Inspection Rating Footnote
QM Rating
2
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
1.58316
Reported LPN Staffing Hours per Resident per Day
0.97895
Reported RN Staffing Hours per Resident per Day
0.60737
Reported Licensed Staffing Hours per Resident per Day
1.58632
Reported Total Nurse Staffing Hours per Resident per Day
3.16948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.68077
Expected LPN Staffing Hours per Resident per Day
0.87844
Expected RN Staffing Hours per Resident per Day
1.31795
Expected Total Nurse Staffing Hours per Resident per Day
4.87716
Adjusted CNA Staffing Hours per Resident per Day
1.44906
Adjusted LPN Staffing Hours per Resident per Day
0.92497
Adjusted RN Staffing Hours per Resident per Day
0.34434
Adjusted Total Nurse Staffing Hours per Resident per Day
2.61953
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
4
Cycle 1 Standard Survey Health Date
2014-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
4
Cycle 3 Standard Health Survey Date
2011-01-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
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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