| General |
| City |
| Douglasville |
Macon |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 4028 Hwy 5 |
529 Bolingreen Drive |
| Zip Code |
| 30,135 |
31,210 |
| Phone |
| 7,709,427,111 |
4,784,771,720 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 246 |
121 |
|
Total Number of Residents |
| 218 |
113 |
|
Percent of Occupied Beds |
| 89 % |
93 % |
| Health Survey Date |
| 6/16/2011 |
12/22/2011 |
| Fire Survey Date |
| 6/16/2011 |
12/22/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
Non Profit - Other |
| 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 |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 2 |
|
|
| Staff Information |
| Number of Residents |
| 218 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.25 |
0.33 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.18 |
0.97 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.3 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
|
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/03/2012date Of Correction: 05/15/2012 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/03/2012date Of Correction: 05/15/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.7 % |
22.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 30.9 % |
16 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.4 % |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
6.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 44.3 % |
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.9 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.8 % |
11 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.5 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32 % |
28.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.7 % |
94.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.8 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7 % |
4.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.6 % |
21.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.1 % |
20.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.2 % |
3.8 % |
| Percent of long-stay residents who lose too much weight |
| 7.2 % |
6.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 43.3 % |
50.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.3 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.4 / 10.4 |
14.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.4-2413.6-24 |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 5.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.8 % |
8.1 / 8.8 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 31.2 % |
34.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.5 % |
92.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
95.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 15.7 % |
16.4 % |