Provider Name: FIFTH AVENUE HEALTH CARE
Address: 505 NORTH FIFTH AVENUE, ROME, GA 30165
Phone: (706) 291-0521
County: Floyd (460)
Ownership Type: For profit - Corporation
Certified Beds: 100
Average Residents Per Day: 61.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: NORTH GEORGIA CARE SERVICES INC
First Approved Date: October 13, 1983
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 1 (12)
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.43334, LPN Staff Hours Per Day: 0.8584, RN Staff Hours Per Day: 0.1494, Licensed Staff Hours Per Day: 1.0078
Total Nurse Staff Hours Per Day, per resident: 2.44123
Weekend Nurse Staff Hours: 2.19254, Weekend RN Staff Hours: 0.0868
PT Staff Hours Per Day, per resident: 0.0194
Nurse Staff Turnover: 48.2, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0868, Case Mix LPN Hours Per Day: 0.7750, Case Mix RN Hours Per Day: 0.4181
Adjusted Nurse Aide Hours Per Day, per resident: 1.39927, Adjusted LPN Hours Per Day: 0.8173, Adjusted RN Hours Per Day: 0.1347
Total Adjusted Nurse Hours Per Day, per resident: 2.34591
Adjusted Weekend Nurse Hours Per Day, per resident: 2.10693
Health Survey Dates and Scores: Cycle 1: 2022-11-20 (Score: 20), Cycle 2: 2019-08-15 (Score: 0), Cycle 3: 2018-05-24 (Score: 0)
Total Weighted Health Score: 15.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 10195.01, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 505 NORTH FIFTH AVENUE,ROME,GA,30165 (34.2597, -85.175)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-03
Type: Health, Deficiency: Keep all essential equipment working safely.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-04
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-04
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-04
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-04
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-04
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-06
Type: Fire Safety, Tag: 0271, Version: New
Description: Have exits that are accessible at all times.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-07-08
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-07-08