Pruitthealth - Old Capitol - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
115681
Provider Name
PRUITTHEALTH - OLD CAPITOL
Provider Address
310 HIGHWAY #1 BYPASS
LOUISVILLE, GA 30434
LOUISVILLE, GA 30434
Provider Phone Number
(478) 625-3741
Provider SSA County
620
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
143
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH - OLD CAPITOL, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-01-30
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.84600
Reported LPN Staffing Hours per Resident per Day
0.71280
Reported RN Staffing Hours per Resident per Day
0.47360
Reported Licensed Staffing Hours per Resident per Day
1.18640
Reported Total Nurse Staffing Hours per Resident per Day
3.03240
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02440
Expected CNA Staffing Hours per Resident per Day
2.33053
Expected LPN Staffing Hours per Resident per Day
0.57439
Expected RN Staffing Hours per Resident per Day
0.92120
Expected Total Nurse Staffing Hours per Resident per Day
3.82612
Adjusted CNA Staffing Hours per Resident per Day
1.94356
Adjusted LPN Staffing Hours per Resident per Day
1.03001
Adjusted RN Staffing Hours per Resident per Day
0.38415
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19470
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
8
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2011-05-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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