Pruitthealth - Crestwood - Valdosta Nursing Home
General Information
UPDATEFederal Provider Number
115385
Provider Name
PRUITTHEALTH - CRESTWOOD
Provider Address
415 PENDLETON PLACE
VALDOSTA, GA 31602
VALDOSTA, GA 31602
Provider Phone Number
(229) 242-6868
Provider SSA County
700
Provider County Name
Lowndes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOWNDES COUNTY HEALTH SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-16
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.64189
Reported LPN Staffing Hours per Resident per Day
0.78378
Reported RN Staffing Hours per Resident per Day
0.44054
Reported Licensed Staffing Hours per Resident per Day
1.22432
Reported Total Nurse Staffing Hours per Resident per Day
2.86621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03581
Expected CNA Staffing Hours per Resident per Day
2.88000
Expected LPN Staffing Hours per Resident per Day
0.73891
Expected RN Staffing Hours per Resident per Day
0.97809
Expected Total Nurse Staffing Hours per Resident per Day
4.59700
Adjusted CNA Staffing Hours per Resident per Day
1.39886
Adjusted LPN Staffing Hours per Resident per Day
0.88041
Adjusted RN Staffing Hours per Resident per Day
0.33654
Adjusted Total Nurse Staffing Hours per Resident per Day
2.51325
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
325
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
325
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-05-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2010-08-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
164.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
43030
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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