Laurel Baye Healthcare Of Macon - Macon Nursing Home
General Information
UPDATEFederal Provider Number
115362
Provider Name
LAUREL BAYE HEALTHCARE OF MACON
Provider Address
505 COLISEUM DRIVE
MACON, GA 31217
MACON, GA 31217
Provider Phone Number
(478) 743-8687
Provider SSA County
90
Provider County Name
Bibb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT DOVE HEALTHCARE OF MACON, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
1
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
1.97552
Reported LPN Staffing Hours per Resident per Day
1.23229
Reported RN Staffing Hours per Resident per Day
0.41719
Reported Licensed Staffing Hours per Resident per Day
1.64948
Reported Total Nurse Staffing Hours per Resident per Day
3.62500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.52681
Expected LPN Staffing Hours per Resident per Day
0.69962
Expected RN Staffing Hours per Resident per Day
1.21138
Expected Total Nurse Staffing Hours per Resident per Day
4.43782
Adjusted CNA Staffing Hours per Resident per Day
1.91836
Adjusted LPN Staffing Hours per Resident per Day
1.46193
Adjusted RN Staffing Hours per Resident per Day
0.25733
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29261
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
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
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