| General |
| City |
| Atlanta |
Cuthbert |
| State attribute explanation |
| Ga |
Ga |
| Street |
| 3150 Howell Mill Road N.w. |
203 Randolph Street |
| Zip Code |
| 30,327 |
39,840 |
| Phone |
| 4,043,518,410 |
2,297,322,288 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 96 |
80 |
|
Total Number of Residents |
| 92 |
79 |
|
Percent of Occupied Beds |
| 96 % |
99 % |
| Health Survey Date |
| 8/31/2011 |
1/7/2011 |
| Fire Survey Date |
| 8/31/2011 |
1/7/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Government - Hospital District |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
6 |
|
| Staff Information |
| Number of Residents |
| 92 |
79 |
| Number of RN Hours Per Resident Per Day |
| 0.49 |
0.54 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.04 |
0.63 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.54 |
1.17 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.02 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 03/29/2012date Of Correction: 04/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 03/29/2012date Of Correction: 04/20/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/29/2012date Of Correction: 04/20/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/29/2012date Of Correction: 04/20/2012 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/29/2012date Of Correction: 04/20/2012 |
| 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: 03/29/2012date Of Correction: 04/20/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.4 % |
27.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.9 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.1 % |
26.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
10.6 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
7.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
38.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
6.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.5 % |
10.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 26.4 % |
2.6 / 3 |
| Percent of long-stay residents who were physically restrained |
| 5.6:1 |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 5.5 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 60.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
5.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.7 % |
27.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.4 % |
28.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
6.4 % |
| Percent of long-stay residents who lose too much weight |
| 4.2 % |
8.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.7 % |
40.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.7 % |
4.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 18.4 % |
7 % |
| Percent of long-stay residents who have depressive symptoms |
| 32.9 % |
0.9 % |
| Percent of long-stay residents who were physically restrained |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
6.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.5 % |
11.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 63.1 % |
66.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
53.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.4 % |
75.2 % |