Thomasville Health & Rehab, Llc - Thomasville Nursing Home
General Information
UPDATEFederal Provider Number
115427
Provider Name
THOMASVILLE HEALTH & REHAB, LLC
Provider Address
120 SKYLINE DRIVE
THOMASVILLE, GA 31757
THOMASVILLE, GA 31757
Provider Phone Number
(229) 225-1049
Provider SSA County
890
Provider County Name
Thomas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C.R. OF THOMASVILLE, 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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84405
Reported LPN Staffing Hours per Resident per Day
1.01310
Reported RN Staffing Hours per Resident per Day
0.46071
Reported Licensed Staffing Hours per Resident per Day
1.47381
Reported Total Nurse Staffing Hours per Resident per Day
3.31786
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02738
Expected CNA Staffing Hours per Resident per Day
2.66988
Expected LPN Staffing Hours per Resident per Day
0.64813
Expected RN Staffing Hours per Resident per Day
0.85508
Expected Total Nurse Staffing Hours per Resident per Day
4.17309
Adjusted CNA Staffing Hours per Resident per Day
1.69474
Adjusted LPN Staffing Hours per Resident per Day
1.29738
Adjusted RN Staffing Hours per Resident per Day
0.40259
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20481
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
4
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
21.33300
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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