Thunderbolt Transitional Care And Rehabilitation - Thunderbolt Nursing Home
General Information
UPDATEFederal Provider Number
115624
Provider Name
THUNDERBOLT TRANSITIONAL CARE AND REHABILITATION
Provider Address
3223 FALLIGANT AVENUE
THUNDERBOLT, GA 31404
THUNDERBOLT, GA 31404
Provider Phone Number
9126912512
Provider SSA County
220
Provider County Name
Chatham
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADK THUNDERBOLT OPERATOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-01-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.00691
Reported LPN Staffing Hours per Resident per Day
0.75976
Reported RN Staffing Hours per Resident per Day
0.57276
Reported Licensed Staffing Hours per Resident per Day
1.33252
Reported Total Nurse Staffing Hours per Resident per Day
3.33943
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11220
Expected CNA Staffing Hours per Resident per Day
2.50368
Expected LPN Staffing Hours per Resident per Day
0.67557
Expected RN Staffing Hours per Resident per Day
1.21082
Expected Total Nurse Staffing Hours per Resident per Day
4.39006
Adjusted CNA Staffing Hours per Resident per Day
1.96685
Adjusted LPN Staffing Hours per Resident per Day
0.93344
Adjusted RN Staffing Hours per Resident per Day
0.35345
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06622
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-15
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
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
2013-05-02
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
2
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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