Signature Healthcare Of Buckhead - Atlanta Nursing Home
General Information
UPDATEFederal Provider Number
115110
Provider Name
SIGNATURE HEALTHCARE OF BUCKHEAD
Provider Address
54 PEACHTREE PARK DRIVE N.E.
ATLANTA, GA 30309
ATLANTA, GA 30309
Provider Phone Number
(404) 351-6041
Provider SSA County
470
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
179
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP ATLANTA LLC
Date First Approved to Provide Medicare and Medicaid services
1976-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
1.94478
Reported LPN Staffing Hours per Resident per Day
1.33507
Reported RN Staffing Hours per Resident per Day
0.62201
Reported Licensed Staffing Hours per Resident per Day
1.95709
Reported Total Nurse Staffing Hours per Resident per Day
3.90186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18284
Expected CNA Staffing Hours per Resident per Day
2.66472
Expected LPN Staffing Hours per Resident per Day
0.71943
Expected RN Staffing Hours per Resident per Day
1.24868
Expected Total Nurse Staffing Hours per Resident per Day
4.63283
Adjusted CNA Staffing Hours per Resident per Day
1.79077
Adjusted LPN Staffing Hours per Resident per Day
1.54026
Adjusted RN Staffing Hours per Resident per Day
0.37221
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39490
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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