Pruitthealth - Ashburn - Ashburn Nursing Home
General Information
UPDATEFederal Provider Number
115491
Provider Name
PRUITTHEALTH - ASHBURN
Provider Address
441 INDUSTRIAL BLVD
ASHBURN, GA 31714
ASHBURN, GA 31714
Provider Phone Number
(229) 567-3473
Provider SSA County
911
Provider County Name
Turner
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH-ASHBURN, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.36269
Reported LPN Staffing Hours per Resident per Day
0.67687
Reported RN Staffing Hours per Resident per Day
0.78209
Reported Licensed Staffing Hours per Resident per Day
1.45896
Reported Total Nurse Staffing Hours per Resident per Day
3.82165
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03731
Expected CNA Staffing Hours per Resident per Day
2.59288
Expected LPN Staffing Hours per Resident per Day
0.74028
Expected RN Staffing Hours per Resident per Day
1.13278
Expected Total Nurse Staffing Hours per Resident per Day
4.46595
Adjusted CNA Staffing Hours per Resident per Day
2.23587
Adjusted LPN Staffing Hours per Resident per Day
0.75890
Adjusted RN Staffing Hours per Resident per Day
0.51588
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44937
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
2014-10-23
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
16
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.66700
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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