Spring Harbor At Green Island - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
115716
Provider Name
SPRING HARBOR AT GREEN ISLAND
Provider Address
200 SPRING HARBOR DRIVE
COLUMBUS, GA 31904
COLUMBUS, GA 31904
Provider Phone Number
(706) 576-6027
Provider SSA County
780
Provider County Name
Muscogee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
30
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
COLUMBUS REGIONAL SENIOR LIVING INC
Date First Approved to Provide Medicare and Medicaid services
2006-10-06
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20000
Reported LPN Staffing Hours per Resident per Day
1.10500
Reported RN Staffing Hours per Resident per Day
0.96000
Reported Licensed Staffing Hours per Resident per Day
2.06500
Reported Total Nurse Staffing Hours per Resident per Day
5.26500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.52232
Expected LPN Staffing Hours per Resident per Day
0.65215
Expected RN Staffing Hours per Resident per Day
0.97981
Expected Total Nurse Staffing Hours per Resident per Day
4.15428
Adjusted CNA Staffing Hours per Resident per Day
3.11294
Adjusted LPN Staffing Hours per Resident per Day
1.40634
Adjusted RN Staffing Hours per Resident per Day
0.73210
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10863
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-22
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.66700
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
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