Social Circle Nsg & Rehab Ctr - Social Circle Nursing Home
General Information
UPDATEFederal Provider Number
115532
Provider Name
SOCIAL CIRCLE NSG & REHAB CTR
Provider Address
671 NORTH CHEROKEE ROAD
SOCIAL CIRCLE, GA 30025
SOCIAL CIRCLE, GA 30025
Provider Phone Number
(770) 464-2019
Provider SSA County
930
Provider County Name
Walton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOCIAL CIRCLE CYPRESS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61346
Reported LPN Staffing Hours per Resident per Day
1.02019
Reported RN Staffing Hours per Resident per Day
0.93558
Reported Licensed Staffing Hours per Resident per Day
1.95577
Reported Total Nurse Staffing Hours per Resident per Day
4.56923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10962
Expected CNA Staffing Hours per Resident per Day
2.47878
Expected LPN Staffing Hours per Resident per Day
0.65965
Expected RN Staffing Hours per Resident per Day
1.10026
Expected Total Nurse Staffing Hours per Resident per Day
4.23870
Adjusted CNA Staffing Hours per Resident per Day
2.58702
Adjusted LPN Staffing Hours per Resident per Day
1.28364
Adjusted RN Staffing Hours per Resident per Day
0.63536
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34523
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
12
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.00000
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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