Grace Healthcare Of Tucker - Tucker Nursing Home
General Information
UPDATEFederal Provider Number
115596
Provider Name
GRACE HEALTHCARE OF TUCKER
Provider Address
2165 IDLEWOOD ROAD
TUCKER, GA 30084
TUCKER, GA 30084
Provider Phone Number
(770) 934-3172
Provider SSA County
370
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TUCKER INVESTMENTS & ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1995-12-19
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.96589
Reported LPN Staffing Hours per Resident per Day
0.82829
Reported RN Staffing Hours per Resident per Day
0.50504
Reported Licensed Staffing Hours per Resident per Day
1.33333
Reported Total Nurse Staffing Hours per Resident per Day
3.29922
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07132
Expected CNA Staffing Hours per Resident per Day
2.79423
Expected LPN Staffing Hours per Resident per Day
0.70343
Expected RN Staffing Hours per Resident per Day
1.13539
Expected Total Nurse Staffing Hours per Resident per Day
4.63304
Adjusted CNA Staffing Hours per Resident per Day
1.72631
Adjusted LPN Staffing Hours per Resident per Day
0.97733
Adjusted RN Staffing Hours per Resident per Day
0.33237
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87043
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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