Provider Name: HERITAGE INN OF SANDERSVILLE HEALTH AND REHAB
Address: 652 FERNCREST DRIVE, SANDERSVILLE, GA 31082
Phone: (478) 552-3015
County: Washington (950)
Ownership Type: Non profit - Other
Certified Beds: 60
Average Residents Per Day: 59.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HERITAGE INN OF SANDERSVILLE LLC
First Approved Date: May 1, 1989
Affiliated Entity: HEALTH SYSTEMS FACILITIES, INC. (258)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.11949, LPN Staff Hours Per Day: 0.7871, RN Staff Hours Per Day: 0.4989, Licensed Staff Hours Per Day: 1.2860
Total Nurse Staff Hours Per Day, per resident: 3.40556
Weekend Nurse Staff Hours: 3.05671, Weekend RN Staff Hours: 0.2792
PT Staff Hours Per Day, per resident: 0.0244
Nurse Staff Turnover: 33.3, Nurse Turnover Note:
RN Turnover: 28.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2955, Case Mix LPN Hours Per Day: 0.7119, Case Mix RN Hours Per Day: 0.3540
Adjusted Nurse Aide Hours Per Day, per resident: 1.88100, Adjusted LPN Hours Per Day: 0.8159, Adjusted RN Hours Per Day: 0.5310
Total Adjusted Nurse Hours Per Day, per resident: 3.19335
Adjusted Weekend Nurse Hours Per Day, per resident: 2.86624
Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 0), Cycle 2: 2022-06-26 (Score: 0), Cycle 3: 2019-11-07 (Score: 0)
Total Weighted Health Score: 0.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 652 FERNCREST DRIVE,SANDERSVILLE,GA,31082 (33.0019, -82.804)
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:
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: 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: 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 2024-02-08
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2024-02-08
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2024-02-08
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
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 2024-02-08
Type: Fire Safety, Tag: 0781, Version: New
Description: Have restrictions on the use of portable space heaters.
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 2024-02-08
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
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 2024-02-08
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
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 2019-12-09