Oak View Home, Inc - Waverly Hall Nursing Home

General Information

UPDATE
Federal Provider Number
115576
Provider Name
OAK VIEW HOME, INC
Provider Address
119 OAKVIEW STREET
WAVERLY HALL, GA 31831
Provider Phone Number
7065822117
Provider SSA County
580
Provider County Name
Harris
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN AGE OAK VIEW HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.90677
Reported LPN Staffing Hours per Resident per Day
0.73646
Reported RN Staffing Hours per Resident per Day
0.46146
Reported Licensed Staffing Hours per Resident per Day
1.19792
Reported Total Nurse Staffing Hours per Resident per Day
3.10469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05208
Expected CNA Staffing Hours per Resident per Day
2.38822
Expected LPN Staffing Hours per Resident per Day
0.64263
Expected RN Staffing Hours per Resident per Day
0.97976
Expected Total Nurse Staffing Hours per Resident per Day
4.01060
Adjusted CNA Staffing Hours per Resident per Day
1.95905
Adjusted LPN Staffing Hours per Resident per Day
0.95119
Adjusted RN Staffing Hours per Resident per Day
0.35193
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12040
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
16
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2013-01-10
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Reviews: Be the first to review this provider.

Share your experience with Oak View Home, Inc. You can help others by writing a review.