Maple Ridge Health Care Center - Cartersville Nursing Home
General Information
UPDATEFederal Provider Number
115543
Provider Name
MAPLE RIDGE HEALTH CARE CENTER
Provider Address
22 MAPLE RIDGE DRIVE S.E.
CARTERSVILLE, GA 30120
CARTERSVILLE, GA 30120
Provider Phone Number
(770) 606-8800
Provider SSA County
60
Provider County Name
Bartow
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BARTOW COUNTY HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1993-03-22
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.14203
Reported LPN Staffing Hours per Resident per Day
1.12029
Reported RN Staffing Hours per Resident per Day
0.53768
Reported Licensed Staffing Hours per Resident per Day
1.65797
Reported Total Nurse Staffing Hours per Resident per Day
4.80000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08261
Expected CNA Staffing Hours per Resident per Day
2.37746
Expected LPN Staffing Hours per Resident per Day
0.63109
Expected RN Staffing Hours per Resident per Day
0.98385
Expected Total Nurse Staffing Hours per Resident per Day
3.99240
Adjusted CNA Staffing Hours per Resident per Day
3.24279
Adjusted LPN Staffing Hours per Resident per Day
1.47339
Adjusted RN Staffing Hours per Resident per Day
0.40835
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84629
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
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
20
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
2013-08-15
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
13.33300
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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