| General |
| City |
| Americus |
Montezuma |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 2001 South Lee Street |
506 Sumter St |
| Zip Code |
| 31,709 |
31,063 |
| Phone |
| 2,299,249,352 |
4,784,728,168 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 238 |
100 |
|
Total Number of Residents |
| 207 |
78 |
|
Percent of Occupied Beds |
| 87 % |
78 % |
| Health Survey Date |
| 9/16/2010 |
3/29/2012 |
| Fire Survey Date |
| 9/16/2010 |
3/29/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Non Profit - Other |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 7 |
|
|
| Staff Information |
| Number of Residents |
| 190 |
78 |
| Number of RN Hours Per Resident Per Day |
| 0.39 |
0.37 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.95 |
0.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.34 |
1.15 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
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: 03/21/2011date Of Correction: 05/05/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 01/04/2012date Of Correction: 02/17/2012 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/04/2012date Of Correction: 02/17/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/21/2011date Of Correction: 05/05/2011 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.survey Date: 01/04/2012date Of Correction: 02/17/2012 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/04/2012date Of Correction: 02/17/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Ensure That All Nurse Aids Who Have Worked Less Than 4 Months Are Enrolled In Appropriate Training Or Have Been Deemed Competent To Provide Nursing And Nursing Related Services.survey Date: 03/21/2011date Of Correction: 05/05/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.3 % |
30.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.1 % |
2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.9 / 9.9 |
4 % |
| Percent of long-stay residents who lose too much weight |
| 9.2 % |
1.50 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 38.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
8.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.6:1 |
4.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.1:1 |
3.1 % |
| Percent of long-stay residents who were physically restrained |
| 6.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.1 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.6 % |
96.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 77.3 % |
82.8 % |
| 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 |
| 2.8 % |
7.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.2 % |
35 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.3 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.4 % |
5.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.6 % |
2.6 / 3 |
| Percent of long-stay residents who lose too much weight |
| 11.1 % |
4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42 % |
33.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.3 % |
6.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.2 % |
1 % |
| Percent of long-stay residents who were physically restrained |
| 6.6 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
6.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.7:1 |
36.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 72.1 % |
83.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72.4 % |
31.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
75.2 % |