Pruitthealth - Fairburn - Fairburn Nursing Home
General Information
UPDATEFederal Provider Number
115506
Provider Name
PRUITTHEALTH - FAIRBURN
Provider Address
7560 BUTNER ROAD
FAIRBURN, GA 30213
FAIRBURN, GA 30213
Provider Phone Number
(770) 306-7878
Provider SSA County
470
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH FAIRBURN LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-28
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
4
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
2.33133
Reported LPN Staffing Hours per Resident per Day
0.93333
Reported RN Staffing Hours per Resident per Day
0.92800
Reported Licensed Staffing Hours per Resident per Day
1.86133
Reported Total Nurse Staffing Hours per Resident per Day
4.19266
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14800
Expected CNA Staffing Hours per Resident per Day
2.52730
Expected LPN Staffing Hours per Resident per Day
0.66059
Expected RN Staffing Hours per Resident per Day
1.15767
Expected Total Nurse Staffing Hours per Resident per Day
4.34556
Adjusted CNA Staffing Hours per Resident per Day
2.26343
Adjusted LPN Staffing Hours per Resident per Day
1.17269
Adjusted RN Staffing Hours per Resident per Day
0.59896
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88907
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
2014-12-30
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
0
Cycle 2 Standard Health Survey Date
2013-07-02
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
4.66700
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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