Willowwood Nursing Center - Flowery Branch Nursing Home

General Information

UPDATE
Federal Provider Number
115327
Provider Name
WILLOWWOOD NURSING CENTER
Provider Address
4595 CANTRELL ROAD
FLOWERY BRANCH, GA 30542
Provider Phone Number
7709672070
Provider SSA County
550
Provider County Name
Hall
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWWOOD NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
1.88056
Reported LPN Staffing Hours per Resident per Day
0.89667
Reported RN Staffing Hours per Resident per Day
0.31000
Reported Licensed Staffing Hours per Resident per Day
1.20667
Reported Total Nurse Staffing Hours per Resident per Day
3.08723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.53973
Expected LPN Staffing Hours per Resident per Day
0.65600
Expected RN Staffing Hours per Resident per Day
1.04541
Expected Total Nurse Staffing Hours per Resident per Day
4.24113
Adjusted CNA Staffing Hours per Resident per Day
1.81686
Adjusted LPN Staffing Hours per Resident per Day
1.13450
Adjusted RN Staffing Hours per Resident per Day
0.22157
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93420
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
8
Cycle 1 Standard Survey Health Date
2014-06-26
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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