Montezuma Health Care Center - Montezuma Nursing Home
General Information
UPDATEFederal Provider Number
115364
Provider Name
MONTEZUMA HEALTH CARE CENTER
Provider Address
506 SUMTER ST
MONTEZUMA, GA 31063
MONTEZUMA, GA 31063
Provider Phone Number
(478) 472-8168
Provider SSA County
710
Provider County Name
Macon
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTEZUMA HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.83851
Reported LPN Staffing Hours per Resident per Day
1.28176
Reported RN Staffing Hours per Resident per Day
0.33851
Reported Licensed Staffing Hours per Resident per Day
1.62027
Reported Total Nurse Staffing Hours per Resident per Day
4.45878
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04459
Expected CNA Staffing Hours per Resident per Day
2.53744
Expected LPN Staffing Hours per Resident per Day
0.64169
Expected RN Staffing Hours per Resident per Day
0.94693
Expected Total Nurse Staffing Hours per Resident per Day
4.12606
Adjusted CNA Staffing Hours per Resident per Day
2.74483
Adjusted LPN Staffing Hours per Resident per Day
1.65791
Adjusted RN Staffing Hours per Resident per Day
0.26711
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35595
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
2015-04-16
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.66700
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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