Oaks - Carrollton Skilled Nursing, The - Carrollton Nursing Home
General Information
UPDATEFederal Provider Number
115384
Provider Name
OAKS - CARROLLTON SKILLED NURSING, THE
Provider Address
921 OLD NEWNAN ROAD
CARROLLTON, GA 30117
CARROLLTON, GA 30117
Provider Phone Number
(770) 834-3501
Provider SSA County
190
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE OAKS-CARROLLTON LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
4
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
2.32632
Reported LPN Staffing Hours per Resident per Day
0.87632
Reported RN Staffing Hours per Resident per Day
1.05132
Reported Licensed Staffing Hours per Resident per Day
1.92763
Reported Total Nurse Staffing Hours per Resident per Day
4.25396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20526
Expected CNA Staffing Hours per Resident per Day
2.56792
Expected LPN Staffing Hours per Resident per Day
0.65319
Expected RN Staffing Hours per Resident per Day
1.12399
Expected Total Nurse Staffing Hours per Resident per Day
4.34510
Adjusted CNA Staffing Hours per Resident per Day
2.22284
Adjusted LPN Staffing Hours per Resident per Day
1.11353
Adjusted RN Staffing Hours per Resident per Day
0.69889
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94635
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
20
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
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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