Pruitthealth - Covington - Covington Nursing Home

General Information

UPDATE
Federal Provider Number
115588
Provider Name
PRUITTHEALTH - COVINGTON
Provider Address
4148 CARROLL STREET
COVINGTON, GA 30015
Provider Phone Number
(770) 786-0427
Provider SSA County
790
Provider County Name
Newton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH - COVINGTON LLC
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.16884
Reported LPN Staffing Hours per Resident per Day
0.85580
Reported RN Staffing Hours per Resident per Day
0.47609
Reported Licensed Staffing Hours per Resident per Day
1.33188
Reported Total Nurse Staffing Hours per Resident per Day
3.50073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11812
Expected CNA Staffing Hours per Resident per Day
2.45750
Expected LPN Staffing Hours per Resident per Day
0.67583
Expected RN Staffing Hours per Resident per Day
1.11970
Expected Total Nurse Staffing Hours per Resident per Day
4.25303
Adjusted CNA Staffing Hours per Resident per Day
2.16549
Adjusted LPN Staffing Hours per Resident per Day
1.05103
Adjusted RN Staffing Hours per Resident per Day
0.31771
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31789
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
185
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
185
Total Weighted Health Survey Score
52.83300
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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