Twin Fountains Home - Lagrange Nursing Home
General Information
UPDATEFederal Provider Number
115709
Provider Name
TWIN FOUNTAINS HOME
Provider Address
1400 HOGANSVILLE ROAD
LAGRANGE, GA 30240
LAGRANGE, GA 30240
Provider Phone Number
(706) 882-0121
Provider SSA County
910
Provider County Name
Troup
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
116
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST GEORGIA MEDICAL CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
2005-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91553
Reported LPN Staffing Hours per Resident per Day
0.68544
Reported RN Staffing Hours per Resident per Day
0.68010
Reported Licensed Staffing Hours per Resident per Day
1.36553
Reported Total Nurse Staffing Hours per Resident per Day
3.28107
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05534
Expected CNA Staffing Hours per Resident per Day
2.23232
Expected LPN Staffing Hours per Resident per Day
0.60860
Expected RN Staffing Hours per Resident per Day
0.86044
Expected Total Nurse Staffing Hours per Resident per Day
3.70136
Adjusted CNA Staffing Hours per Resident per Day
2.10549
Adjusted LPN Staffing Hours per Resident per Day
0.93479
Adjusted RN Staffing Hours per Resident per Day
0.59060
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57319
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
2015-02-19
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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