Westwood Nursing Center - Statesboro Nursing Home
General Information
UPDATEFederal Provider Number
115601
Provider Name
WESTWOOD NURSING CENTER
Provider Address
101 STOCKYARD ROAD
STATESBORO, GA 30458
STATESBORO, GA 30458
Provider Phone Number
(912) 764-6005
Provider SSA County
140
Provider County Name
Bulloch
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LTC HEALTHCARE OF STATESBORO INC
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
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
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83889
Reported LPN Staffing Hours per Resident per Day
1.49111
Reported RN Staffing Hours per Resident per Day
0.36778
Reported Licensed Staffing Hours per Resident per Day
1.85889
Reported Total Nurse Staffing Hours per Resident per Day
3.69778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01556
Expected CNA Staffing Hours per Resident per Day
2.55323
Expected LPN Staffing Hours per Resident per Day
0.77105
Expected RN Staffing Hours per Resident per Day
1.15029
Expected Total Nurse Staffing Hours per Resident per Day
4.47458
Adjusted CNA Staffing Hours per Resident per Day
1.76721
Adjusted LPN Staffing Hours per Resident per Day
1.60510
Adjusted RN Staffing Hours per Resident per Day
0.23890
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33113
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
16
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-08-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
28.00000
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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