Georgia Nursing Homes >> Monticello Nursing Homes >> Retreat, The

Retreat, The - Monticello Nursing Home

General Information

UPDATE
Federal Provider Number
115675
Provider Name
RETREAT, THE
Provider Address
898 COLLEGE ST
MONTICELLO, GA 31064
Provider Phone Number
7064688826
Provider SSA County
611
Provider County Name
Jasper
Ownership Type
Non profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
JASPER HEALTH SERVICES INC.
Date First Approved to Provide Medicare and Medicaid services
2001-08-06
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
4.03571
Reported LPN Staffing Hours per Resident per Day
0.88367
Reported RN Staffing Hours per Resident per Day
0.66122
Reported Licensed Staffing Hours per Resident per Day
1.54490
Reported Total Nurse Staffing Hours per Resident per Day
5.58060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00714
Expected CNA Staffing Hours per Resident per Day
2.41626
Expected LPN Staffing Hours per Resident per Day
0.58888
Expected RN Staffing Hours per Resident per Day
0.82917
Expected Total Nurse Staffing Hours per Resident per Day
3.83431
Adjusted CNA Staffing Hours per Resident per Day
4.09825
Adjusted LPN Staffing Hours per Resident per Day
1.24548
Adjusted RN Staffing Hours per Resident per Day
0.59585
Adjusted Total Nurse Staffing Hours per Resident per Day
5.86672
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.33300
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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