Hill Haven Nursing Home - Commerce Nursing Home
General Information
UPDATEFederal Provider Number
115710
Provider Name
HILL HAVEN NURSING HOME
Provider Address
880 RIDGEWAY ROAD
COMMERCE, GA 30529
COMMERCE, GA 30529
Provider Phone Number
7063368000
Provider SSA County
610
Provider County Name
Jackson
Ownership Type
For profit - Individual
Number of Certified Beds
70
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILL HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27049
Reported LPN Staffing Hours per Resident per Day
0.90246
Reported RN Staffing Hours per Resident per Day
0.39918
Reported Licensed Staffing Hours per Resident per Day
1.30164
Reported Total Nurse Staffing Hours per Resident per Day
3.57213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09754
Expected CNA Staffing Hours per Resident per Day
2.51354
Expected LPN Staffing Hours per Resident per Day
0.66212
Expected RN Staffing Hours per Resident per Day
1.07910
Expected Total Nurse Staffing Hours per Resident per Day
4.25477
Adjusted CNA Staffing Hours per Resident per Day
2.21643
Adjusted LPN Staffing Hours per Resident per Day
1.13127
Adjusted RN Staffing Hours per Resident per Day
0.27640
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38418
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-04-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.00000
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
Nursiong Homes Nearby
Northridge Health And Rehabilitation
100 Medical Center Drive |
COMMERCE GA 30529 | 0.3 mile away
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