GRACEMORE NURSING AND REHAB Nursing Home


GRACEMORE NURSING AND REHAB (CCN: 115554) is a For profit - Corporation facility located in BRUNSWICK, GA (31520). The facility has an overall rating of 4/5, health inspection rating of 4/5, and a staffing rating of 4/5. It offers 60 certified beds and maintains an average of 39.3 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.66006 total hours per resident per day. It has been certified since October 1, 1993 and the last listed health inspection was on January 21, 2024, The facility is located in Glynn county and provides senior and nursing home care.

GRACEMORE NURSING AND REHAB Summary


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Provider Name: GRACEMORE NURSING AND REHAB

Address: 2708 LEE STREET, BRUNSWICK, GA 31520

Phone: (912) 265-6771

County: Glynn (490)

Ownership Type: For profit - Corporation

Certified Beds: 60

Average Residents Per Day: 39.3 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: GRACEMORE, LLC

First Approved Date: October 1, 1993

Affiliated Entity: CROSSROADS MEDICAL MANAGEMENT (172)

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: 3 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 3 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.82581, LPN Staff Hours Per Day: 0.9337, RN Staff Hours Per Day: 0.9005, Licensed Staff Hours Per Day: 1.8342

Total Nurse Staff Hours Per Day, per resident: 3.66006

Weekend Nurse Staff Hours: 2.92827, Weekend RN Staff Hours: 0.5440

PT Staff Hours Per Day, per resident: 0.0088

Nurse Staff Turnover: 46.2, 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: 2.0330, Case Mix LPN Hours Per Day: 0.6558, Case Mix RN Hours Per Day: 0.2678

Adjusted Nurse Aide Hours Per Day, per resident: 1.82955, Adjusted LPN Hours Per Day: 1.0507, Adjusted RN Hours Per Day: 1.2670

Total Adjusted Nurse Hours Per Day, per resident: 3.90188

Adjusted Weekend Nurse Hours Per Day, per resident: 3.12174

Health Survey Dates and Scores: Cycle 1: 2024-01-21 (Score: 8), Cycle 2: 2022-03-17 (Score: 8), Cycle 3: 2019-11-14 (Score: 44)

Total Weighted Health Score: 14.000

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: 2708 LEE STREET,BRUNSWICK,GA,31520 (31.1678, -81.492)

Process Date: 2024-03-01


Health Inspection Citations Details

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:

Citation on 2024-01-21

Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-04

Citation on 2024-01-21

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 plan of correction on 2024-03-04

Citation on 2022-03-17

Type: Health, Deficiency: Assess the resident when there is a significant change in condition

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 2022-05-01

Citation on 2022-03-17

Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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 2022-05-01

Citation on 2019-11-14

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: 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 2019-12-30

Citation on 2019-11-14

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 2019-12-30

Citation on 2019-11-14

Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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 2019-12-30

Citation on 2019-11-14

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: 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 2019-12-30

Citation on 2019-11-14

Type: Health, Deficiency: Put firmly secured handrails on each side of hallways.

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 2019-12-30


Fire Safety Citations Details

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:

Citation on 2024-01-20

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-04

Citation on 2024-01-20

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 plan of correction on 2024-03-04

Citation on 2024-01-20

Type: Fire Safety, Tag: 0347, Version: New

Description: Properly provide smoke detection systems in areas open to corridors.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-04

Citation on 2024-01-20

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-04

Citation on 2024-01-20

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-04

Citation on 2019-11-13

Type: Fire Safety, Tag: 0026, Version: New

Description: Establish roles under a Waiver declared by secretary.

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 2019-12-30

Citation on 2019-11-13

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 2019-12-30