Memorial Manor Nursing Home - Bainbridge Nursing Home
General Information
UPDATEFederal Provider Number
115711
Provider Name
MEMORIAL MANOR NURSING HOME
Provider Address
1500 EAST SHOTWELL STREET
BAINBRIDGE, GA 39819
BAINBRIDGE, GA 39819
Provider Phone Number
2292463500
Provider SSA County
360
Provider County Name
Decatur
Ownership Type
Government - Hospital district
Number of Certified Beds
107
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI
Date First Approved to Provide Medicare and Medicaid services
2005-12-01
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
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24143
Reported LPN Staffing Hours per Resident per Day
1.08429
Reported RN Staffing Hours per Resident per Day
0.24952
Reported Licensed Staffing Hours per Resident per Day
1.33381
Reported Total Nurse Staffing Hours per Resident per Day
3.57524
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00667
Expected CNA Staffing Hours per Resident per Day
2.38706
Expected LPN Staffing Hours per Resident per Day
0.62048
Expected RN Staffing Hours per Resident per Day
0.89767
Expected Total Nurse Staffing Hours per Resident per Day
3.90521
Adjusted CNA Staffing Hours per Resident per Day
2.30400
Adjusted LPN Staffing Hours per Resident per Day
1.45042
Adjusted RN Staffing Hours per Resident per Day
0.20770
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69031
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
12
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
18000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Bainbridge Health And Rehab
1155 West College Street |
BAINBRIDGE GA 39819 | 2.4 miles away
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