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Gray Health And Rehabilitation - Gray Nursing Home

General Information

UPDATE
Federal Provider Number
115466
Provider Name
GRAY HEALTH AND REHABILITATION
Provider Address
156 DOLLY STREET
GRAY, GA 31032
Provider Phone Number
(478) 986-3151
Provider SSA County
650
Provider County Name
Jones
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
58
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JONES COUNTY NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-27
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.49038
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.41827
Reported Licensed Staffing Hours per Resident per Day
1.56827
Reported Total Nurse Staffing Hours per Resident per Day
4.05865
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08365
Expected CNA Staffing Hours per Resident per Day
2.77040
Expected LPN Staffing Hours per Resident per Day
0.72406
Expected RN Staffing Hours per Resident per Day
1.06577
Expected Total Nurse Staffing Hours per Resident per Day
4.56022
Adjusted CNA Staffing Hours per Resident per Day
2.20569
Adjusted LPN Staffing Hours per Resident per Day
1.31827
Adjusted RN Staffing Hours per Resident per Day
0.29324
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58755
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
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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