Treutlen County Health And Rehabilitation - Soperton Nursing Home
General Information
UPDATEFederal Provider Number
115358
Provider Name
TREUTLEN COUNTY HEALTH AND REHABILITATION
Provider Address
2249 COLLEGE STREET, NORTH
SOPERTON, GA 30457
SOPERTON, GA 30457
Provider Phone Number
9125294418
Provider SSA County
903
Provider County Name
Treutlen
Ownership Type
Non profit - Other
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
TREUTLEN COUNTY NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.19896
Reported LPN Staffing Hours per Resident per Day
1.14688
Reported RN Staffing Hours per Resident per Day
0.74375
Reported Licensed Staffing Hours per Resident per Day
1.89063
Reported Total Nurse Staffing Hours per Resident per Day
4.08959
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12083
Expected CNA Staffing Hours per Resident per Day
2.81379
Expected LPN Staffing Hours per Resident per Day
0.79638
Expected RN Staffing Hours per Resident per Day
1.23033
Expected Total Nurse Staffing Hours per Resident per Day
4.84049
Adjusted CNA Staffing Hours per Resident per Day
1.91755
Adjusted LPN Staffing Hours per Resident per Day
1.19530
Adjusted RN Staffing Hours per Resident per Day
0.45169
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40559
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
2015-04-02
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
2013-11-21
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
4
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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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