| General |
| City |
| Atlanta |
Jeffersonville |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 1819 Clifton Road, N.e. |
113 Spring Valley Drive |
| Zip Code |
| 30,329 |
31,044 |
| Phone |
| 4,043,150,900 |
4,789,452,520 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 150 |
131 |
|
Total Number of Residents |
| 139 |
79 |
|
Percent of Occupied Beds |
| 93 % |
60 % |
| Health Survey Date |
| 1/11/2012 |
5/10/2012 |
| Fire Survey Date |
| 1/12/2012 |
5/10/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 139 |
79 |
| Number of RN Hours Per Resident Per Day |
| 0.21 |
0.21 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.16 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.36 |
1.14 |
| Number of CNA Hours Per Resident Per Day |
| 0.12 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.12 |
0.07 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 07/12/2011date Of Correction: 08/12/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 32.4 (90.3) |
35.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.3 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.8 % |
2.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 93.9 % |
22.2:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.4 % |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 7.4 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.4 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
35 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.4 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.6 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.9 % |
40 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.1 % |
3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
4.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.8 % |
3.4 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
8.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 86.4 % |
24.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.4 % |
4.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.6 % |
1 % |
| Percent of long-stay residents who were physically restrained |
| 7.2 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
2.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.3:1 |
20 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.2 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.2 % |
40.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.1 % |
3.3 % |