Palemon Gaskins Mem Nsg Home - Ocilla Nursing Home
General Information
UPDATEFederal Provider Number
115713
Provider Name
PALEMON GASKINS MEM NSG HOME
Provider Address
710 NORTH IRWIN AVENUE
OCILLA, GA 31774
OCILLA, GA 31774
Provider Phone Number
(229) 468-3891
Provider SSA County
601
Provider County Name
Irwin
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
IRWIN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2005-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.31207
Reported LPN Staffing Hours per Resident per Day
1.38966
Reported RN Staffing Hours per Resident per Day
0.42931
Reported Licensed Staffing Hours per Resident per Day
1.81897
Reported Total Nurse Staffing Hours per Resident per Day
4.13104
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00517
Expected CNA Staffing Hours per Resident per Day
2.53173
Expected LPN Staffing Hours per Resident per Day
0.65952
Expected RN Staffing Hours per Resident per Day
1.02987
Expected Total Nurse Staffing Hours per Resident per Day
4.22112
Adjusted CNA Staffing Hours per Resident per Day
2.24081
Adjusted LPN Staffing Hours per Resident per Day
1.74886
Adjusted RN Staffing Hours per Resident per Day
0.31148
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94488
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
40
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
12
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
47600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Pruitthealth - Ocilla
209 West Hudson Street |
OCILLA GA 31774 | 0.2 mile away