Life Care Center - Fitzgerald Nursing Home
General Information
UPDATEFederal Provider Number
115654
Provider Name
LIFE CARE CENTER
Provider Address
176 LINCOLN AVE
FITZGERALD, GA 31750
FITZGERALD, GA 31750
Provider Phone Number
2294235621
Provider SSA County
70
Provider County Name
Ben Hill
Ownership Type
For profit - Corporation
Number of Certified Beds
167
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NDE, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-01
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
2
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
1.81600
Reported LPN Staffing Hours per Resident per Day
1.24640
Reported RN Staffing Hours per Resident per Day
0.27400
Reported Licensed Staffing Hours per Resident per Day
1.52040
Reported Total Nurse Staffing Hours per Resident per Day
3.33640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02280
Expected CNA Staffing Hours per Resident per Day
2.20488
Expected LPN Staffing Hours per Resident per Day
0.62887
Expected RN Staffing Hours per Resident per Day
1.05291
Expected Total Nurse Staffing Hours per Resident per Day
3.88666
Adjusted CNA Staffing Hours per Resident per Day
2.02094
Adjusted LPN Staffing Hours per Resident per Day
1.64504
Adjusted RN Staffing Hours per Resident per Day
0.19444
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46022
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-13
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Pruitthealth - Fitzgerald
185 Bowen's Mill Highway |
FITZGERALD GA 31750 | 2 miles away
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