Prince George Healthcare Center - Georgetown Nursing Home
General Information
UPDATEFederal Provider Number
425295
Provider Name
PRINCE GEORGE HEALTHCARE CENTER
Provider Address
901 MAPLE STREET
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
Provider Phone Number
(843) 546-6101
Provider SSA County
210
Provider County Name
Georgetown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALMETTO PRINCE GEORGE OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1990-11-20
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27890
Reported LPN Staffing Hours per Resident per Day
0.97156
Reported RN Staffing Hours per Resident per Day
0.84174
Reported Licensed Staffing Hours per Resident per Day
1.81330
Reported Total Nurse Staffing Hours per Resident per Day
4.09220
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.63634
Expected LPN Staffing Hours per Resident per Day
0.65990
Expected RN Staffing Hours per Resident per Day
1.01913
Expected Total Nurse Staffing Hours per Resident per Day
4.31537
Adjusted CNA Staffing Hours per Resident per Day
2.12103
Adjusted LPN Staffing Hours per Resident per Day
1.22200
Adjusted RN Staffing Hours per Resident per Day
0.61714
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82244
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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