Georgia Nursing Homes >> Carrollton Nursing Homes >> Pine Knoll Nursing & Rehab Ctr

Pine Knoll Nursing & Rehab Ctr - Carrollton Nursing Home

General Information

UPDATE
Federal Provider Number
115443
Provider Name
PINE KNOLL NURSING & REHAB CTR
Provider Address
156 PINE KNOLL DRIVE
CARROLLTON, GA 30117
Provider Phone Number
(770) 832-8243
Provider SSA County
190
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE KNOLL CYPRESS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37772
Reported LPN Staffing Hours per Resident per Day
0.90990
Reported RN Staffing Hours per Resident per Day
0.76386
Reported Licensed Staffing Hours per Resident per Day
1.67376
Reported Total Nurse Staffing Hours per Resident per Day
4.05148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05644
Expected CNA Staffing Hours per Resident per Day
2.48814
Expected LPN Staffing Hours per Resident per Day
0.70483
Expected RN Staffing Hours per Resident per Day
1.15607
Expected Total Nurse Staffing Hours per Resident per Day
4.34905
Adjusted CNA Staffing Hours per Resident per Day
2.34480
Adjusted LPN Staffing Hours per Resident per Day
1.07148
Adjusted RN Staffing Hours per Resident per Day
0.49370
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75510
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
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-09-12
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
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.00000
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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