Pruitthealth - Holly Hill - Valdosta Nursing Home

General Information

UPDATE
Federal Provider Number
115562
Provider Name
PRUITTHEALTH - HOLLY HILL
Provider Address
413 PENDLETON PLACE
VALDOSTA, GA 31602
Provider Phone Number
(229) 244-6968
Provider SSA County
700
Provider County Name
Lowndes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
87
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
1994-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.93103
Reported LPN Staffing Hours per Resident per Day
0.56667
Reported RN Staffing Hours per Resident per Day
0.84713
Reported Licensed Staffing Hours per Resident per Day
1.41379
Reported Total Nurse Staffing Hours per Resident per Day
3.34483
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04540
Expected CNA Staffing Hours per Resident per Day
2.68196
Expected LPN Staffing Hours per Resident per Day
0.81524
Expected RN Staffing Hours per Resident per Day
1.31795
Expected Total Nurse Staffing Hours per Resident per Day
4.81515
Adjusted CNA Staffing Hours per Resident per Day
1.76668
Adjusted LPN Staffing Hours per Resident per Day
0.57693
Adjusted RN Staffing Hours per Resident per Day
0.48027
Adjusted Total Nurse Staffing Hours per Resident per Day
2.80005
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
2014-11-06
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
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
2011-08-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.00000
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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