Kindred Transitional Care And Rehab - Lafayette - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
115360
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB - LAFAYETTE
Provider Address
110 BRANDYWINE BOULEVARD
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
Provider Phone Number
(770) 461-2928
Provider SSA County
451
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
179
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAFAYETTE HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-04-20
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.07055
Reported LPN Staffing Hours per Resident per Day
1.08322
Reported RN Staffing Hours per Resident per Day
0.77123
Reported Licensed Staffing Hours per Resident per Day
1.85445
Reported Total Nurse Staffing Hours per Resident per Day
3.92500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23151
Expected CNA Staffing Hours per Resident per Day
2.33861
Expected LPN Staffing Hours per Resident per Day
0.68359
Expected RN Staffing Hours per Resident per Day
1.31456
Expected Total Nurse Staffing Hours per Resident per Day
4.33676
Adjusted CNA Staffing Hours per Resident per Day
2.17245
Adjusted LPN Staffing Hours per Resident per Day
1.31523
Adjusted RN Staffing Hours per Resident per Day
0.43837
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64818
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
2014-06-12
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
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-09-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
8
Cycle 2 Total Health Score
24
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
16
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
16
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
11570
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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