Waycross Health And Rehabilitation - Waycross Nursing Home
General Information
UPDATEFederal Provider Number
115605
Provider Name
WAYCROSS HEALTH AND REHABILITATION
Provider Address
1910 DOROTHY STREET
WAYCROSS, GA 31501
WAYCROSS, GA 31501
Provider Phone Number
(912) 285-4721
Provider SSA County
940
Provider County Name
Ware
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
92
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WARE COUNTY HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1996-10-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.25952
Reported LPN Staffing Hours per Resident per Day
1.33333
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
1.83333
Reported Total Nurse Staffing Hours per Resident per Day
4.09285
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15159
Expected CNA Staffing Hours per Resident per Day
2.47750
Expected LPN Staffing Hours per Resident per Day
0.70005
Expected RN Staffing Hours per Resident per Day
1.07254
Expected Total Nurse Staffing Hours per Resident per Day
4.25009
Adjusted CNA Staffing Hours per Resident per Day
2.23781
Adjusted LPN Staffing Hours per Resident per Day
1.58083
Adjusted RN Staffing Hours per Resident per Day
0.34833
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88177
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2010-12-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
1
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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