Georgia Nursing Homes >> Evans Nursing Homes >> University Extended Care/westw

University Extended Care/westw - Evans Nursing Home

General Information

UPDATE
Federal Provider Number
115336
Provider Name
UNIVERSITY EXTENDED CARE/WESTW
Provider Address
561 UNIVERSITY DRIVE
EVANS, GA 30809
Provider Phone Number
(706) 863-7514
Provider SSA County
310
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY EXTENDED CARE INC
Date First Approved to Provide Medicare and Medicaid services
1986-08-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.77086
Reported LPN Staffing Hours per Resident per Day
1.38237
Reported RN Staffing Hours per Resident per Day
0.62266
Reported Licensed Staffing Hours per Resident per Day
2.00504
Reported Total Nurse Staffing Hours per Resident per Day
4.77589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10647
Expected CNA Staffing Hours per Resident per Day
2.40513
Expected LPN Staffing Hours per Resident per Day
0.59542
Expected RN Staffing Hours per Resident per Day
1.01023
Expected Total Nurse Staffing Hours per Resident per Day
4.01078
Adjusted CNA Staffing Hours per Resident per Day
2.82682
Adjusted LPN Staffing Hours per Resident per Day
1.92699
Adjusted RN Staffing Hours per Resident per Day
0.46054
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79985
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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