| General |
| City |
| Decatur |
Chatsworth |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 2787 North Decatur Road |
102 Hospital Drive |
| Zip Code |
| 30,033 |
30,705 |
| Phone |
| 4,042,920,626 |
7,066,958,313 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
1 |
|
Number of Certified Beds |
| 73 |
120 |
|
Total Number of Residents |
| 62 |
95 |
|
Percent of Occupied Beds |
| 85 % |
79 % |
| Health Survey Date |
| 6/3/2011 |
12/1/2011 |
| Fire Survey Date |
| 6/3/2011 |
12/1/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
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 |
|
2 |
|
| Staff Information |
| Number of Residents |
| 62 |
95 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.35 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.94 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.84 |
1.23 |
| Number of CNA Hours Per Resident Per Day |
| 0.18 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.18 |
0.06 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 05/16/2012date Of Correction: 06/29/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 01/26/2010date Of Correction: 03/12/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19 % |
59.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.7 % |
2.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
6.5 % |
| Percent of long-stay residents who lose too much weight |
| 4.9 % |
14.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 11.9 % |
7.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
11 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
12.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.6 % |
10 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.1 % |
97.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.9 % |
97.7 % |
| 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 |
| 75.2 % |
4.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.8 % |
56.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.2 % |
1.50 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.2-20 |
7.5 % |
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
11.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 63.9 % |
29.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 11.4 % |
8.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
13.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
17.1:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
5.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.8 % |
14 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.4 % |
99 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 69.8 % |
12.6:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.50 % |
1.7 % |