Provider Name: CEDAR VALLEY NSG & REHAB CTR
Address: 225 PHILPOT STREET, CEDARTOWN, GA 30125
Phone: (770) 748-4116
County: Polk (830)
Ownership Type: For profit - Corporation
Certified Beds: 100
Average Residents Per Day: 75.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CEDAR VALLEY CYPRESS LLC
First Approved Date: October 1, 1989
Affiliated Entity: CYPRESS SKILLED NURSING (176)
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: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.66058, LPN Staff Hours Per Day: 1.1063, RN Staff Hours Per Day: 0.2015, Licensed Staff Hours Per Day: 1.3079
Total Nurse Staff Hours Per Day, per resident: 2.96852
Weekend Nurse Staff Hours: 2.76508, Weekend RN Staff Hours: 0.1351
PT Staff Hours Per Day, per resident: 0.0782
Nurse Staff Turnover: 51.7, Nurse Turnover Note:
RN Turnover: 57.1, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8830, Case Mix LPN Hours Per Day: 0.7022, Case Mix RN Hours Per Day: 0.3550
Adjusted Nurse Aide Hours Per Day, per resident: 1.79657, Adjusted LPN Hours Per Day: 1.1625, Adjusted RN Hours Per Day: 0.2139
Total Adjusted Nurse Hours Per Day, per resident: 3.18220
Adjusted Weekend Nurse Hours Per Day, per resident: 2.96412
Health Survey Dates and Scores: Cycle 1: 2022-04-07 (Score: 4), Cycle 2: 2019-11-07 (Score: 0), Cycle 3: 2018-06-21 (Score: 0)
Total Weighted Health Score: 2.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 225 PHILPOT STREET,CEDARTOWN,GA,30125 (34.0140, -85.254)
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: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 2022-05-18
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: 0351, Version: New
Description: Install an approved automatic sprinkler 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 2019-12-16
Type: Fire Safety, Tag: 0355, Version: New
Description: Properly select, install, inspect, or maintain portable fire extinguishes.
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 2019-12-16
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2019-12-16