Oaks - Bethany Skilled Nursing, The - Vidalia Nursing Home
General Information
UPDATEFederal Provider Number
115705
Provider Name
OAKS - BETHANY SKILLED NURSING, THE
Provider Address
1305 EAST NORTH STREET
VIDALIA, GA 30475
VIDALIA, GA 30475
Provider Phone Number
(912) 537-7922
Provider SSA County
901
Provider County Name
Toombs
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
168
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE OAKS - BETHANY SKILLED NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.30000
Reported LPN Staffing Hours per Resident per Day
1.03344
Reported RN Staffing Hours per Resident per Day
0.52875
Reported Licensed Staffing Hours per Resident per Day
1.56219
Reported Total Nurse Staffing Hours per Resident per Day
3.86219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06219
Expected CNA Staffing Hours per Resident per Day
2.73094
Expected LPN Staffing Hours per Resident per Day
0.72541
Expected RN Staffing Hours per Resident per Day
1.10714
Expected Total Nurse Staffing Hours per Resident per Day
4.56349
Adjusted CNA Staffing Hours per Resident per Day
2.06651
Adjusted LPN Staffing Hours per Resident per Day
1.18245
Adjusted RN Staffing Hours per Resident per Day
0.35685
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41145
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
2014-07-10
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-10-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
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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