Miller Nursing Home - Colquitt Nursing Home
General Information
UPDATEFederal Provider Number
115039
Provider Name
MILLER NURSING HOME
Provider Address
206 GRACE ST
COLQUITT, GA 39837
COLQUITT, GA 39837
Provider Phone Number
2297582500
Provider SSA County
741
Provider County Name
Miller
Ownership Type
Government - Hospital district
Number of Certified Beds
97
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Date First Approved to Provide Medicare and Medicaid services
1967-02-10
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76236
Reported LPN Staffing Hours per Resident per Day
2.14775
Reported RN Staffing Hours per Resident per Day
1.16011
Reported Licensed Staffing Hours per Resident per Day
3.30787
Reported Total Nurse Staffing Hours per Resident per Day
6.07022
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07753
Expected CNA Staffing Hours per Resident per Day
2.77058
Expected LPN Staffing Hours per Resident per Day
1.09038
Expected RN Staffing Hours per Resident per Day
1.50104
Expected Total Nurse Staffing Hours per Resident per Day
5.36200
Adjusted CNA Staffing Hours per Resident per Day
2.44642
Adjusted LPN Staffing Hours per Resident per Day
1.63487
Adjusted RN Staffing Hours per Resident per Day
0.57749
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56331
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-02-21
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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