Pruitthealth - Sunrise - Moultrie Nursing Home
General Information
UPDATEFederal Provider Number
115668
Provider Name
PRUITTHEALTH - SUNRISE
Provider Address
2709 S MAIN STREET
MOULTRIE, GA 31768
MOULTRIE, GA 31768
Provider Phone Number
(229) 985-7173
Provider SSA County
300
Provider County Name
Colquitt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH - SUNRISE, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-02-10
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
5
Health Inspection Rating Footnote
QM Rating
2
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
2.46930
Reported LPN Staffing Hours per Resident per Day
0.86228
Reported RN Staffing Hours per Resident per Day
0.54211
Reported Licensed Staffing Hours per Resident per Day
1.40439
Reported Total Nurse Staffing Hours per Resident per Day
3.87369
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01842
Expected CNA Staffing Hours per Resident per Day
2.56576
Expected LPN Staffing Hours per Resident per Day
0.70081
Expected RN Staffing Hours per Resident per Day
1.09224
Expected Total Nurse Staffing Hours per Resident per Day
4.35882
Adjusted CNA Staffing Hours per Resident per Day
2.36145
Adjusted LPN Staffing Hours per Resident per Day
1.02123
Adjusted RN Staffing Hours per Resident per Day
0.37086
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58227
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
2014-03-20
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
2012-06-28
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2010-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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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