Lumber City Nursing & Rehabilitation Center - Lumber City Nursing Home
General Information
UPDATEFederal Provider Number
115404
Provider Name
LUMBER CITY NURSING & REHABILITATION CENTER
Provider Address
93 HIGHWAY 19
LUMBER CITY, GA 31549
LUMBER CITY, GA 31549
Provider Phone Number
(912) 363-2484
Provider SSA County
884
Provider County Name
Telfair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LC SNF, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91974
Reported LPN Staffing Hours per Resident per Day
1.18750
Reported RN Staffing Hours per Resident per Day
0.49145
Reported Licensed Staffing Hours per Resident per Day
1.67895
Reported Total Nurse Staffing Hours per Resident per Day
3.59869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11184
Expected CNA Staffing Hours per Resident per Day
2.32209
Expected LPN Staffing Hours per Resident per Day
0.68186
Expected RN Staffing Hours per Resident per Day
1.20771
Expected Total Nurse Staffing Hours per Resident per Day
4.21166
Adjusted CNA Staffing Hours per Resident per Day
2.02855
Adjusted LPN Staffing Hours per Resident per Day
1.44549
Adjusted RN Staffing Hours per Resident per Day
0.30406
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44424
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
24
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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