Gwinnett Extended Care Center - Lawrenceville Nursing Home
General Information
UPDATEFederal Provider Number
115645
Provider Name
GWINNETT EXTENDED CARE CENTER
Provider Address
650 PROFESSIONAL DRIVE
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
Provider Phone Number
(678) 312-3000
Provider SSA County
530
Provider County Name
Gwinnett
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
GWINNETT HOSPITAL SYSTEM, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-07-17
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40843
Reported LPN Staffing Hours per Resident per Day
0.94045
Reported RN Staffing Hours per Resident per Day
0.87303
Reported Licensed Staffing Hours per Resident per Day
1.81348
Reported Total Nurse Staffing Hours per Resident per Day
4.22191
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08258
Expected CNA Staffing Hours per Resident per Day
2.46512
Expected LPN Staffing Hours per Resident per Day
0.64494
Expected RN Staffing Hours per Resident per Day
1.01861
Expected Total Nurse Staffing Hours per Resident per Day
4.12867
Adjusted CNA Staffing Hours per Resident per Day
2.39727
Adjusted LPN Staffing Hours per Resident per Day
1.21031
Adjusted RN Staffing Hours per Resident per Day
0.64041
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12193
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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