Signature Healthcare Of Marietta - Marietta Nursing Home
General Information
UPDATEFederal Provider Number
115206
Provider Name
SIGNATURE HEALTHCARE OF MARIETTA
Provider Address
811 KENNESAW AVENUE
MARIETTA, GA 30060
MARIETTA, GA 30060
Provider Phone Number
(770) 422-2451
Provider SSA County
290
Provider County Name
Cobb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP MARIETTA LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.11594
Reported LPN Staffing Hours per Resident per Day
1.18986
Reported RN Staffing Hours per Resident per Day
0.66812
Reported Licensed Staffing Hours per Resident per Day
1.85797
Reported Total Nurse Staffing Hours per Resident per Day
3.97392
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14312
Expected CNA Staffing Hours per Resident per Day
2.66147
Expected LPN Staffing Hours per Resident per Day
0.68213
Expected RN Staffing Hours per Resident per Day
1.21914
Expected Total Nurse Staffing Hours per Resident per Day
4.56273
Adjusted CNA Staffing Hours per Resident per Day
1.95076
Adjusted LPN Staffing Hours per Resident per Day
1.44780
Adjusted RN Staffing Hours per Resident per Day
0.40949
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51072
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
8
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
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-18
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
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
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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