Park Springs Health Center - Stone Mountain Nursing Home
General Information
UPDATEFederal Provider Number
115694
Provider Name
PARK SPRINGS HEALTH CENTER
Provider Address
500 SPRINGHOUSE CIRCLE
STONE MOUNTAIN, GA 30087
STONE MOUNTAIN, GA 30087
Provider Phone Number
(678) 684-3800
Provider SSA County
370
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
38
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PARK SPRINGS LLC
Date First Approved to Provide Medicare and Medicaid services
2005-05-27
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
4
QM Rating Footnote
Staffing Rating
3
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
2.00526
Reported LPN Staffing Hours per Resident per Day
0.82895
Reported RN Staffing Hours per Resident per Day
0.76711
Reported Licensed Staffing Hours per Resident per Day
1.59605
Reported Total Nurse Staffing Hours per Resident per Day
3.60132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27237
Expected CNA Staffing Hours per Resident per Day
2.69501
Expected LPN Staffing Hours per Resident per Day
0.66890
Expected RN Staffing Hours per Resident per Day
1.04652
Expected Total Nurse Staffing Hours per Resident per Day
4.41044
Adjusted CNA Staffing Hours per Resident per Day
1.82571
Adjusted LPN Staffing Hours per Resident per Day
1.02859
Adjusted RN Staffing Hours per Resident per Day
0.54770
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29141
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
12
Cycle 1 Standard Survey Health Date
2015-01-22
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
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
2013-06-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.00000
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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