Lillian G Carter Health And Rehabilitation - Plains Nursing Home
General Information
UPDATEFederal Provider Number
115550
Provider Name
LILLIAN G CARTER HEALTH AND REHABILITATION
Provider Address
225 HOSPITAL STREET
PLAINS, GA 31780
PLAINS, GA 31780
Provider Phone Number
(229) 824-7796
Provider SSA County
870
Provider County Name
Sumter
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LILLIAN G CARTER NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1993-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.88750
Reported LPN Staffing Hours per Resident per Day
0.93750
Reported RN Staffing Hours per Resident per Day
0.53207
Reported Licensed Staffing Hours per Resident per Day
1.46957
Reported Total Nurse Staffing Hours per Resident per Day
3.35707
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01576
Expected CNA Staffing Hours per Resident per Day
2.81371
Expected LPN Staffing Hours per Resident per Day
0.77023
Expected RN Staffing Hours per Resident per Day
1.03090
Expected Total Nurse Staffing Hours per Resident per Day
4.61484
Adjusted CNA Staffing Hours per Resident per Day
1.64600
Adjusted LPN Staffing Hours per Resident per Day
1.01026
Adjusted RN Staffing Hours per Resident per Day
0.38564
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93228
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
2014-07-02
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-09-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.00000
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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