Presbyterian Home, Quitman, In - Quitman Nursing Home

General Information

UPDATE
Federal Provider Number
115498
Provider Name
PRESBYTERIAN HOME, QUITMAN, IN
Provider Address
1901 WEST SCREVEN STREET
QUITMAN, GA 31643
Provider Phone Number
(229) 263-6100
Provider SSA County
120
Provider County Name
Brooks
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
188
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME, QUITMAN, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
Y
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
3
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
2.40055
Reported LPN Staffing Hours per Resident per Day
0.88619
Reported RN Staffing Hours per Resident per Day
0.43287
Reported Licensed Staffing Hours per Resident per Day
1.31906
Reported Total Nurse Staffing Hours per Resident per Day
3.71961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03149
Expected CNA Staffing Hours per Resident per Day
2.29633
Expected LPN Staffing Hours per Resident per Day
0.58486
Expected RN Staffing Hours per Resident per Day
0.87826
Expected Total Nurse Staffing Hours per Resident per Day
3.75946
Adjusted CNA Staffing Hours per Resident per Day
2.56506
Adjusted LPN Staffing Hours per Resident per Day
1.25762
Adjusted RN Staffing Hours per Resident per Day
0.36827
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98818
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
64
Cycle 3 Standard Health Survey Date
2011-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
14.66700
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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