Park Place Nursing Facility - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
115005
Provider Name
PARK PLACE NURSING FACILITY
Provider Address
1865 BOLD SPRINGS ROAD
MONROE, GA 30655
MONROE, GA 30655
Provider Phone Number
(770) 267-8677
Provider SSA County
930
Provider County Name
Walton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONROE NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1993-11-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48844
Reported LPN Staffing Hours per Resident per Day
0.84250
Reported RN Staffing Hours per Resident per Day
0.32500
Reported Licensed Staffing Hours per Resident per Day
1.16750
Reported Total Nurse Staffing Hours per Resident per Day
3.65594
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03563
Expected CNA Staffing Hours per Resident per Day
2.38806
Expected LPN Staffing Hours per Resident per Day
0.58946
Expected RN Staffing Hours per Resident per Day
0.90727
Expected Total Nurse Staffing Hours per Resident per Day
3.88479
Adjusted CNA Staffing Hours per Resident per Day
2.55683
Adjusted LPN Staffing Hours per Resident per Day
1.18630
Adjusted RN Staffing Hours per Resident per Day
0.26766
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79344
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
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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