Magnolia Manor Of St Simons Rehab & Nursing Center - Saint Simons Island Nursing Home
General Information
UPDATEFederal Provider Number
115582
Provider Name
MAGNOLIA MANOR OF ST SIMONS REHAB & NURSING CENTER
Provider Address
2255 FREDERICA ROAD
SAINT SIMONS ISLAND, GA 31522
SAINT SIMONS ISLAND, GA 31522
Provider Phone Number
(912) 638-9988
Provider SSA County
490
Provider County Name
Glynn
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
125
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA MANOR OF ST SIMONS INC
Date First Approved to Provide Medicare and Medicaid services
1995-05-01
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
1
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
1.85185
Reported LPN Staffing Hours per Resident per Day
1.04907
Reported RN Staffing Hours per Resident per Day
0.51574
Reported Licensed Staffing Hours per Resident per Day
1.56481
Reported Total Nurse Staffing Hours per Resident per Day
3.41666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05278
Expected CNA Staffing Hours per Resident per Day
2.32467
Expected LPN Staffing Hours per Resident per Day
0.60769
Expected RN Staffing Hours per Resident per Day
1.07071
Expected Total Nurse Staffing Hours per Resident per Day
4.00307
Adjusted CNA Staffing Hours per Resident per Day
1.95464
Adjusted LPN Staffing Hours per Resident per Day
1.43284
Adjusted RN Staffing Hours per Resident per Day
0.35991
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44041
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
45.33300
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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