Pruitthealth - Forsyth - Forsyth Nursing Home
General Information
UPDATEFederal Provider Number
115418
Provider Name
PRUITTHEALTH - FORSYTH
Provider Address
521 CABINESS ROAD
FORSYTH, GA 31029
FORSYTH, GA 31029
Provider Phone Number
(478) 994-5671
Provider SSA County
760
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH FORSYTH LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.19328
Reported LPN Staffing Hours per Resident per Day
1.00075
Reported RN Staffing Hours per Resident per Day
0.45746
Reported Licensed Staffing Hours per Resident per Day
1.45821
Reported Total Nurse Staffing Hours per Resident per Day
3.65149
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05224
Expected CNA Staffing Hours per Resident per Day
2.50696
Expected LPN Staffing Hours per Resident per Day
0.66781
Expected RN Staffing Hours per Resident per Day
1.08776
Expected Total Nurse Staffing Hours per Resident per Day
4.26253
Adjusted CNA Staffing Hours per Resident per Day
2.14668
Adjusted LPN Staffing Hours per Resident per Day
1.24380
Adjusted RN Staffing Hours per Resident per Day
0.31424
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45306
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
2015-04-16
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
4.00000
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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Nursiong Homes Nearby
Pruitthealth - Monroe
4796 Highway 42 North |
FORSYTH GA 31029 | 7.5 miles away