Southland Healthcare And Rehab Center - Dublin Nursing Home
General Information
UPDATEFederal Provider Number
115376
Provider Name
SOUTHLAND HEALTHCARE AND REHAB CENTER
Provider Address
606 SIMMONS ST
DUBLIN, GA 31040
DUBLIN, GA 31040
Provider Phone Number
4782721666
Provider SSA County
660
Provider County Name
Laurens
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SL SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
0.00000
Reported LPN Staffing Hours per Resident per Day
1.23176
Reported RN Staffing Hours per Resident per Day
0.36081
Reported Licensed Staffing Hours per Resident per Day
1.59257
Reported Total Nurse Staffing Hours per Resident per Day
1.59257
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01554
Expected CNA Staffing Hours per Resident per Day
2.55413
Expected LPN Staffing Hours per Resident per Day
0.68811
Expected RN Staffing Hours per Resident per Day
1.03766
Expected Total Nurse Staffing Hours per Resident per Day
4.27990
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
1.48576
Adjusted RN Staffing Hours per Resident per Day
0.25981
Adjusted Total Nurse Staffing Hours per Resident per Day
1.49992
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2013-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-04-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2010-08-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.00000
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
Nursiong Homes Nearby
Shamrock Nursing & Rehab Ctr
1634 Telfair St |
DUBLIN GA 31021 | 0.3 mile away
Dublinair Health & Rehab
300 Industrial Blvd |
DUBLIN GA 31040 | 2.8 miles away
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