Northridge Health And Rehabilitation - Commerce Nursing Home

General Information

UPDATE
Federal Provider Number
115714
Provider Name
NORTHRIDGE HEALTH AND REHABILITATION
Provider Address
100 MEDICAL CENTER DRIVE
COMMERCE, GA 30529
Provider Phone Number
(706) 335-1104
Provider SSA County
610
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
167
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
RESTORATION HEALTHCARE OF COMMERCE, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.17518
Reported LPN Staffing Hours per Resident per Day
0.44574
Reported RN Staffing Hours per Resident per Day
0.65638
Reported Licensed Staffing Hours per Resident per Day
1.10213
Reported Total Nurse Staffing Hours per Resident per Day
2.27730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08121
Expected CNA Staffing Hours per Resident per Day
2.47568
Expected LPN Staffing Hours per Resident per Day
0.62254
Expected RN Staffing Hours per Resident per Day
0.94289
Expected Total Nurse Staffing Hours per Resident per Day
4.04110
Adjusted CNA Staffing Hours per Resident per Day
1.16475
Adjusted LPN Staffing Hours per Resident per Day
0.59429
Adjusted RN Staffing Hours per Resident per Day
0.52015
Adjusted Total Nurse Staffing Hours per Resident per Day
2.27155
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
416
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
416
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
156.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
31525
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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