Signature Healthcare Of Savannah - Savannah Nursing Home
General Information
UPDATEFederal Provider Number
115120
Provider Name
SIGNATURE HEALTHCARE OF SAVANNAH
Provider Address
815 EAST 63 STREET
SAVANNAH, GA 31405
SAVANNAH, GA 31405
Provider Phone Number
(912) 352-8615
Provider SSA County
220
Provider County Name
Chatham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP SAVANNAH, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05774
Reported LPN Staffing Hours per Resident per Day
1.04167
Reported RN Staffing Hours per Resident per Day
0.40774
Reported Licensed Staffing Hours per Resident per Day
1.44940
Reported Total Nurse Staffing Hours per Resident per Day
3.50715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.66593
Expected LPN Staffing Hours per Resident per Day
0.68397
Expected RN Staffing Hours per Resident per Day
1.13405
Expected Total Nurse Staffing Hours per Resident per Day
4.48394
Adjusted CNA Staffing Hours per Resident per Day
1.89393
Adjusted LPN Staffing Hours per Resident per Day
1.26408
Adjusted RN Staffing Hours per Resident per Day
0.26865
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15280
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2012-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
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
40
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
2400
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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