| General |
| City |
| Marietta |
Baldwin |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 50 Saine Drive Sw |
205 Peach Orchard Road |
| Zip Code |
| 30,060 |
30,511 |
| Phone |
| 7,704,298,600 |
7,067,788,377 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 1 |
3 |
|
Number of Certified Beds |
| 119 |
148 |
|
Total Number of Residents |
| 100 |
132 |
|
Percent of Occupied Beds |
| 84 % |
89 % |
| Health Survey Date |
| 8/25/2011 |
9/15/2011 |
| Fire Survey Date |
| 8/25/2011 |
9/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| 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 |
| 6 |
1 |
|
| Staff Information |
| Number of Residents |
| 100 |
132 |
| Number of RN Hours Per Resident Per Day |
| 0.24 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.33 |
0.97 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.58 |
1.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.07 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 08/25/2011date Of Correction: Not Available |
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/04/2012date Of Correction: 05/19/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 07/28/2010date Of Correction: 08/21/2010 |
|
| 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: 07/07/2010date Of Correction: 08/21/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 08/25/2011date Of Correction: Not Available |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 07/07/2010date Of Correction: 08/21/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/25/2011date Of Correction: Not Available |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.1:1 |
30 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.3 % |
14.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.7 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
12 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.8 % |
70.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
9 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
49.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 9.4 / 10.4 |
21.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
89.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.5 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.3 % |
6.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.1 % |
30.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.2 % |
16 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.5 % |
4.8 % |
| Percent of long-stay residents who lose too much weight |
| 8.6:1 |
16.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 43.1 % |
67.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.1 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.6 % |
7.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.7 % |
41.3 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.4 % |
6.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
16 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
98.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.8 % |
10.2 % |