Georgia Nursing Homes >> Camilla Nursing Homes >> Mitchell County Nursing Homes

Mitchell County Nursing Homes - Camilla Nursing Home

General Information

UPDATE
Federal Provider Number
115266
Provider Name
MITCHELL COUNTY NURSING HOMES
Provider Address
37 SOUTH ELLIS STREET
CAMILLA, GA 31730
Provider Phone Number
(229) 336-8377
Provider SSA County
750
Provider County Name
Mitchell
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
156
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Date First Approved to Provide Medicare and Medicaid services
1979-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
2.22222
Reported LPN Staffing Hours per Resident per Day
1.00425
Reported RN Staffing Hours per Resident per Day
0.41111
Reported Licensed Staffing Hours per Resident per Day
1.41536
Reported Total Nurse Staffing Hours per Resident per Day
3.63758
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03725
Expected CNA Staffing Hours per Resident per Day
2.45165
Expected LPN Staffing Hours per Resident per Day
0.63807
Expected RN Staffing Hours per Resident per Day
0.99572
Expected Total Nurse Staffing Hours per Resident per Day
4.08544
Adjusted CNA Staffing Hours per Resident per Day
2.22408
Adjusted LPN Staffing Hours per Resident per Day
1.30633
Adjusted RN Staffing Hours per Resident per Day
0.30850
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58902
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
2015-03-12
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
12.66700
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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