Summerhill Elderliving Home & Care - Perry Nursing Home

General Information

UPDATE
Federal Provider Number
115430
Provider Name
SUMMERHILL ELDERLIVING HOME & CARE
Provider Address
500 STANLEY STREET
PERRY, GA 31069
Provider Phone Number
4789873100
Provider SSA County
600
Provider County Name
Houston
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMERHILL, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61020
Reported LPN Staffing Hours per Resident per Day
1.02336
Reported RN Staffing Hours per Resident per Day
0.41842
Reported Licensed Staffing Hours per Resident per Day
1.44178
Reported Total Nurse Staffing Hours per Resident per Day
4.05198
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01974
Expected CNA Staffing Hours per Resident per Day
2.39939
Expected LPN Staffing Hours per Resident per Day
0.67947
Expected RN Staffing Hours per Resident per Day
1.05431
Expected Total Nurse Staffing Hours per Resident per Day
4.13318
Adjusted CNA Staffing Hours per Resident per Day
2.66928
Adjusted LPN Staffing Hours per Resident per Day
1.25007
Adjusted RN Staffing Hours per Resident per Day
0.29654
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95171
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
20
Cycle 2 Standard Health Survey Date
2012-09-27
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-03-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
19.33300
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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