Pruitthealth - Bethany - Millen Nursing Home
General Information
UPDATEFederal Provider Number
115700
Provider Name
PRUITTHEALTH - BETHANY
Provider Address
466 SOUTH GRAY STREET
MILLEN, GA 30442
MILLEN, GA 30442
Provider Phone Number
(478) 982-2531
Provider SSA County
630
Provider County Name
Jenkins
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH - BETHANY, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.27118
Reported LPN Staffing Hours per Resident per Day
0.73294
Reported RN Staffing Hours per Resident per Day
0.59118
Reported Licensed Staffing Hours per Resident per Day
1.32412
Reported Total Nurse Staffing Hours per Resident per Day
3.59530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05824
Expected CNA Staffing Hours per Resident per Day
2.71398
Expected LPN Staffing Hours per Resident per Day
0.70219
Expected RN Staffing Hours per Resident per Day
1.07330
Expected Total Nurse Staffing Hours per Resident per Day
4.48946
Adjusted CNA Staffing Hours per Resident per Day
2.05337
Adjusted LPN Staffing Hours per Resident per Day
0.86635
Adjusted RN Staffing Hours per Resident per Day
0.41156
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22807
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2012-11-08
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
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
2011-06-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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