Pinehill Nursing Center - Byromville Nursing Home
General Information
UPDATEFederal Provider Number
115564
Provider Name
PINEHILL NURSING CENTER
Provider Address
712 PATTERSON STREET
BYROMVILLE, GA 31007
BYROMVILLE, GA 31007
Provider Phone Number
4784335711
Provider SSA County
381
Provider County Name
Dooly
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHNH LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.46077
Reported LPN Staffing Hours per Resident per Day
0.90000
Reported RN Staffing Hours per Resident per Day
0.37385
Reported Licensed Staffing Hours per Resident per Day
1.27385
Reported Total Nurse Staffing Hours per Resident per Day
2.73462
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04846
Expected CNA Staffing Hours per Resident per Day
2.32665
Expected LPN Staffing Hours per Resident per Day
0.70627
Expected RN Staffing Hours per Resident per Day
0.97994
Expected Total Nurse Staffing Hours per Resident per Day
4.01286
Adjusted CNA Staffing Hours per Resident per Day
1.54054
Adjusted LPN Staffing Hours per Resident per Day
1.05766
Adjusted RN Staffing Hours per Resident per Day
0.28506
Adjusted Total Nurse Staffing Hours per Resident per Day
2.74691
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
566
Cycle 1 Standard Survey Health Date
2014-09-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
566
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-06-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
289.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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