Nancy Hart Nursing Center - Elberton Nursing Home
General Information
UPDATEFederal Provider Number
115686
Provider Name
NANCY HART NURSING CENTER
Provider Address
2117 DOCTOR WARD ROAD
ELBERTON, GA 30635
ELBERTON, GA 30635
Provider Phone Number
(706) 283-3335
Provider SSA County
430
Provider County Name
Elbert
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FARMORE, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.96935
Reported LPN Staffing Hours per Resident per Day
0.76210
Reported RN Staffing Hours per Resident per Day
0.31774
Reported Licensed Staffing Hours per Resident per Day
1.07984
Reported Total Nurse Staffing Hours per Resident per Day
3.04919
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04758
Expected CNA Staffing Hours per Resident per Day
2.32526
Expected LPN Staffing Hours per Resident per Day
0.60383
Expected RN Staffing Hours per Resident per Day
0.92331
Expected Total Nurse Staffing Hours per Resident per Day
3.85240
Adjusted CNA Staffing Hours per Resident per Day
2.07813
Adjusted LPN Staffing Hours per Resident per Day
1.04756
Adjusted RN Staffing Hours per Resident per Day
0.25713
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19047
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
44
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
12.00000
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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