Pruitthealth - Moultrie - Moultrie Nursing Home
General Information
UPDATEFederal Provider Number
115505
Provider Name
PRUITTHEALTH - MOULTRIE
Provider Address
233 SUNSET CIRCLE
MOULTRIE, GA 31768
MOULTRIE, GA 31768
Provider Phone Number
(229) 985-4320
Provider SSA County
300
Provider County Name
Colquitt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH-MOULTRIE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.08333
Reported LPN Staffing Hours per Resident per Day
0.70227
Reported RN Staffing Hours per Resident per Day
0.78636
Reported Licensed Staffing Hours per Resident per Day
1.48864
Reported Total Nurse Staffing Hours per Resident per Day
3.57196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03106
Expected CNA Staffing Hours per Resident per Day
2.61549
Expected LPN Staffing Hours per Resident per Day
0.68775
Expected RN Staffing Hours per Resident per Day
1.08575
Expected Total Nurse Staffing Hours per Resident per Day
4.38898
Adjusted CNA Staffing Hours per Resident per Day
1.95446
Adjusted LPN Staffing Hours per Resident per Day
0.84752
Adjusted RN Staffing Hours per Resident per Day
0.54116
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28054
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
32
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2010-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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