Habersham Home - Demorest Nursing Home
General Information
UPDATEFederal Provider Number
115099
Provider Name
HABERSHAM HOME
Provider Address
HIGHWAY 441 NORTH, BOX 37
DEMOREST, GA 30535
DEMOREST, GA 30535
Provider Phone Number
(706) 754-3113
Provider SSA County
540
Provider County Name
Habersham
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
84
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Date First Approved to Provide Medicare and Medicaid services
1969-03-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39877
Reported LPN Staffing Hours per Resident per Day
0.67716
Reported RN Staffing Hours per Resident per Day
0.47963
Reported Licensed Staffing Hours per Resident per Day
1.15679
Reported Total Nurse Staffing Hours per Resident per Day
3.55556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09877
Expected CNA Staffing Hours per Resident per Day
2.67122
Expected LPN Staffing Hours per Resident per Day
0.61272
Expected RN Staffing Hours per Resident per Day
0.88634
Expected Total Nurse Staffing Hours per Resident per Day
4.17028
Adjusted CNA Staffing Hours per Resident per Day
2.20343
Adjusted LPN Staffing Hours per Resident per Day
0.91730
Adjusted RN Staffing Hours per Resident per Day
0.40433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43672
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
2014-08-21
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-05-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.66700
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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