Meadowbrook Health And Rehab - Tucker Nursing Home
General Information
UPDATEFederal Provider Number
115561
Provider Name
MEADOWBROOK HEALTH AND REHAB
Provider Address
4608 LAWRENCEVILLE HIGHWAY
TUCKER, GA 30084
TUCKER, GA 30084
Provider Phone Number
(770) 491-9444
Provider SSA County
370
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOWBROOK OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95465
Reported LPN Staffing Hours per Resident per Day
0.97558
Reported RN Staffing Hours per Resident per Day
0.65465
Reported Licensed Staffing Hours per Resident per Day
1.63023
Reported Total Nurse Staffing Hours per Resident per Day
3.58488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16628
Expected CNA Staffing Hours per Resident per Day
2.61256
Expected LPN Staffing Hours per Resident per Day
0.71081
Expected RN Staffing Hours per Resident per Day
1.28682
Expected Total Nurse Staffing Hours per Resident per Day
4.61020
Adjusted CNA Staffing Hours per Resident per Day
1.83579
Adjusted LPN Staffing Hours per Resident per Day
1.13916
Adjusted RN Staffing Hours per Resident per Day
0.38013
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13442
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2012-08-09
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
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2011-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
22
Number of Fines
1
Total Amount of Fines in Dollars
14398
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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