Roswell Nursing & Rehab Center - Roswell Nursing Home
General Information
UPDATEFederal Provider Number
115422
Provider Name
ROSWELL NURSING & REHAB CENTER
Provider Address
1109 GREEN STREET
ROSWELL, GA 30075
ROSWELL, GA 30075
Provider Phone Number
7709981802
Provider SSA County
470
Provider County Name
Fulton
Ownership Type
For profit - Corporation
Number of Certified Beds
268
Number of Residents in Certified Beds
188
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROSWELL CYPRESS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
2
QM Rating Footnote
Staffing Rating
3
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
2.26596
Reported LPN Staffing Hours per Resident per Day
1.06197
Reported RN Staffing Hours per Resident per Day
0.75479
Reported Licensed Staffing Hours per Resident per Day
1.81676
Reported Total Nurse Staffing Hours per Resident per Day
4.08272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08936
Expected CNA Staffing Hours per Resident per Day
2.55886
Expected LPN Staffing Hours per Resident per Day
0.76109
Expected RN Staffing Hours per Resident per Day
1.27531
Expected Total Nurse Staffing Hours per Resident per Day
4.59527
Adjusted CNA Staffing Hours per Resident per Day
2.17283
Adjusted LPN Staffing Hours per Resident per Day
1.15812
Adjusted RN Staffing Hours per Resident per Day
0.44223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58130
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-04-11
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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