Scott Health & Rehabilitation - Adrian Nursing Home

General Information

UPDATE
Federal Provider Number
115671
Provider Name
SCOTT HEALTH & REHABILITATION
Provider Address
12 SMITH LANE
ADRIAN, GA 31002
Provider Phone Number
(478) 668-3225
Provider SSA County
640
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
59
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON COUNTY LTC, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-04-18
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
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
1.84211
Reported LPN Staffing Hours per Resident per Day
0.83070
Reported RN Staffing Hours per Resident per Day
0.53860
Reported Licensed Staffing Hours per Resident per Day
1.36930
Reported Total Nurse Staffing Hours per Resident per Day
3.21141
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07105
Expected CNA Staffing Hours per Resident per Day
2.43629
Expected LPN Staffing Hours per Resident per Day
0.63266
Expected RN Staffing Hours per Resident per Day
1.01965
Expected Total Nurse Staffing Hours per Resident per Day
4.08860
Adjusted CNA Staffing Hours per Resident per Day
1.85527
Adjusted LPN Staffing Hours per Resident per Day
1.08982
Adjusted RN Staffing Hours per Resident per Day
0.39469
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16609
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
12
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
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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