Stevens Park Health And Rehabilitation Center, Llc - Augusta Nursing Home
General Information
UPDATEFederal Provider Number
115294
Provider Name
STEVENS PARK HEALTH AND REHABILITATION CENTER, LLC
Provider Address
820 STEVENS CREEK ROAD
AUGUSTA, GA 30907
AUGUSTA, GA 30907
Provider Phone Number
(706) 737-0350
Provider SSA County
840
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STEVENS PARK HEALTH AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2009-10-06
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.35833
Reported LPN Staffing Hours per Resident per Day
0.83646
Reported RN Staffing Hours per Resident per Day
1.34479
Reported Licensed Staffing Hours per Resident per Day
2.18125
Reported Total Nurse Staffing Hours per Resident per Day
4.53958
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30521
Expected CNA Staffing Hours per Resident per Day
2.40713
Expected LPN Staffing Hours per Resident per Day
0.71950
Expected RN Staffing Hours per Resident per Day
1.37049
Expected Total Nurse Staffing Hours per Resident per Day
4.49713
Adjusted CNA Staffing Hours per Resident per Day
2.40395
Adjusted LPN Staffing Hours per Resident per Day
0.96492
Adjusted RN Staffing Hours per Resident per Day
0.73319
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06895
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
0
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
8
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
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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