Provider Name: LILLIAN CARTER HEALTH & REHABILITATION
Address: 225 HOSPITAL STREET, PLAINS, GA 31780
Phone: (229) 824-7796
County: Sumter (870)
Ownership Type: Non profit - Other
Certified Beds: 100
Average Residents Per Day: 51.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MGHP-LILLIAN CARTER LLC
First Approved Date: June 1, 1993
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: Y
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.18192, LPN Staff Hours Per Day: 1.3276, RN Staff Hours Per Day: 0.3742, Licensed Staff Hours Per Day: 1.7019
Total Nurse Staff Hours Per Day, per resident: 3.88384
Weekend Nurse Staff Hours: 3.17673, Weekend RN Staff Hours: 0.1813
PT Staff Hours Per Day, per resident: 0.0497
Nurse Staff Turnover: 65.6, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 3, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1031, Case Mix LPN Hours Per Day: 0.6892, Case Mix RN Hours Per Day: 0.2992
Adjusted Nurse Aide Hours Per Day, per resident: 2.11353, Adjusted LPN Hours Per Day: 1.4216, Adjusted RN Hours Per Day: 0.4712
Total Adjusted Nurse Hours Per Day, per resident: 3.95973
Adjusted Weekend Nurse Hours Per Day, per resident: 3.23880
Health Survey Dates and Scores: Cycle 1: 2022-05-19 (Score: 4), Cycle 2: 2019-05-02 (Score: 16), Cycle 3: 2018-03-08 (Score: 8)
Total Weighted Health Score: 8.667
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 650.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 225 HOSPITAL STREET,PLAINS,GA,31780 (32.0377, -84.392)
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: Provide safe and appropriate respiratory care for a resident when needed.
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 2022-07-03
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2019-06-14
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2019-06-14
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 2022-01-30
Type: Health, Deficiency: Have a plan that describes the process for conducting QAPI and QAA activities.
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 2022-01-30
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: 0324, Version: New
Description: Provide properly protected cooking facilities.
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 2019-06-14
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 2018-04-22
Type: Fire Safety, Tag: 0916, Version: New
Description: Have a battery powered remote alarm panel in a location accessible by operating personnel.
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 2018-04-22