Presbyterian Village - Austell Nursing Home
General Information
UPDATEFederal Provider Number
115490
Provider Name
PRESBYTERIAN VILLAGE
Provider Address
2000 EAST-WEST CONNECTOR
AUSTELL, GA 30106
AUSTELL, GA 30106
Provider Phone Number
(770) 819-7000
Provider SSA County
290
Provider County Name
Cobb
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN VILLAGE, AUSTELL, 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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.54235
Reported LPN Staffing Hours per Resident per Day
0.91480
Reported RN Staffing Hours per Resident per Day
0.57653
Reported Licensed Staffing Hours per Resident per Day
1.49133
Reported Total Nurse Staffing Hours per Resident per Day
4.03368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27857
Expected CNA Staffing Hours per Resident per Day
2.49056
Expected LPN Staffing Hours per Resident per Day
0.55865
Expected RN Staffing Hours per Resident per Day
0.88273
Expected Total Nurse Staffing Hours per Resident per Day
3.93195
Adjusted CNA Staffing Hours per Resident per Day
2.50472
Adjusted LPN Staffing Hours per Resident per Day
1.35914
Adjusted RN Staffing Hours per Resident per Day
0.48801
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13519
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
2014-03-13
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-01-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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