Mountain View Health Care - Clayton Nursing Home
General Information
UPDATEFederal Provider Number
115688
Provider Name
MOUNTAIN VIEW HEALTH CARE
Provider Address
547 WARWOMAN ROAD
CLAYTON, GA 30525
CLAYTON, GA 30525
Provider Phone Number
7067824276
Provider SSA County
834
Provider County Name
Rabun
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL MANAGEMENT CONCEPTS LLC
Date First Approved to Provide Medicare and Medicaid services
2004-06-16
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.66000
Reported LPN Staffing Hours per Resident per Day
0.66952
Reported RN Staffing Hours per Resident per Day
0.32667
Reported Licensed Staffing Hours per Resident per Day
0.99619
Reported Total Nurse Staffing Hours per Resident per Day
2.65619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06143
Expected CNA Staffing Hours per Resident per Day
2.39697
Expected LPN Staffing Hours per Resident per Day
0.65905
Expected RN Staffing Hours per Resident per Day
1.05788
Expected Total Nurse Staffing Hours per Resident per Day
4.11389
Adjusted CNA Staffing Hours per Resident per Day
1.69929
Adjusted LPN Staffing Hours per Resident per Day
0.84319
Adjusted RN Staffing Hours per Resident per Day
0.23073
Adjusted Total Nurse Staffing Hours per Resident per Day
2.60261
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
2013-09-05
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-02-23
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2010-09-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
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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