Pinewood Manor Nursing Home & Rehabilitation Cntr - Hawkinsville Nursing Home
General Information
UPDATEFederal Provider Number
115586
Provider Name
PINEWOOD MANOR NURSING HOME & REHABILITATION CNTR
Provider Address
277 COMMERCE STREET
HAWKINSVILLE, GA 31036
HAWKINSVILLE, GA 31036
Provider Phone Number
4788929171
Provider SSA County
831
Provider County Name
Pulaski
Ownership Type
Non profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TAYLOR REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.68351
Reported LPN Staffing Hours per Resident per Day
1.38777
Reported RN Staffing Hours per Resident per Day
0.49362
Reported Licensed Staffing Hours per Resident per Day
1.88138
Reported Total Nurse Staffing Hours per Resident per Day
4.56490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03032
Expected CNA Staffing Hours per Resident per Day
2.68447
Expected LPN Staffing Hours per Resident per Day
0.68864
Expected RN Staffing Hours per Resident per Day
1.07212
Expected Total Nurse Staffing Hours per Resident per Day
4.44523
Adjusted CNA Staffing Hours per Resident per Day
2.45283
Adjusted LPN Staffing Hours per Resident per Day
1.67264
Adjusted RN Staffing Hours per Resident per Day
0.34402
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13942
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
4
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
4
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
68
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
75.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
25643
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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