WAYCROSS HEALTH AND REHABILITATION Nursing Home


WAYCROSS HEALTH AND REHABILITATION (CCN: 115605) is a Non profit - Other facility located in WAYCROSS, GA (31501). The facility has an overall rating of 2/5, health inspection rating of 3/5, and a staffing rating of 4/5. It offers 92 certified beds and maintains an average of 58.3 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.69671 total hours per resident per day. It has been certified since October 1, 1996 and the last listed health inspection was on December 18, 2022, The facility is located in Ware county and provides senior and nursing home care.

WAYCROSS HEALTH AND REHABILITATION Summary


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Provider Name: WAYCROSS HEALTH AND REHABILITATION

Address: 1910 DOROTHY STREET, WAYCROSS, GA 31501

Phone: (912) 285-4721

County: Ware (940)

Ownership Type: Non profit - Other

Certified Beds: 92

Average Residents Per Day: 58.3 ()

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

Legal Business Name: WARE COUNTY HEALTH CARE LLC

First Approved Date: October 1, 1996

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: 2 ()

Health Inspection Rating: 3 ()

QM Rating: 1 ()

Long Stay QM Rating: 1 ()

Short Stay QM Rating: 1 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.30036, LPN Staff Hours Per Day: 0.9762, RN Staff Hours Per Day: 0.4200, Licensed Staff Hours Per Day: 1.3963

Total Nurse Staff Hours Per Day, per resident: 3.69671

Weekend Nurse Staff Hours: 3.22454, Weekend RN Staff Hours: 0.2720

PT Staff Hours Per Day, per resident: 0.0742

Nurse Staff Turnover: 36.1, Nurse Turnover Note:

RN Turnover: 40.0, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.0230, Case Mix LPN Hours Per Day: 0.6634, Case Mix RN Hours Per Day: 0.2900

Adjusted Nurse Aide Hours Per Day, per resident: 2.31646, Adjusted LPN Hours Per Day: 1.0859, Adjusted RN Hours Per Day: 0.5457

Total Adjusted Nurse Hours Per Day, per resident: 3.91462

Adjusted Weekend Nurse Hours Per Day, per resident: 3.41462

Health Survey Dates and Scores: Cycle 1: 2022-12-18 (Score: 40), Cycle 2: 2021-08-05 (Score: 4), Cycle 3: 2018-09-06 (Score: 12)

Total Weighted Health Score: 23.333

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 23877.62, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 1910 DOROTHY STREET,WAYCROSS,GA,31501 (31.2343, -82.358)

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 2022-12-18

Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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 2023-01-17

Citation on 2022-12-18

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 2023-01-17

Citation on 2022-12-18

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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 2023-01-17

Citation on 2022-12-18

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-17

Citation on 2022-12-18

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

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 2023-01-17

Citation on 2021-08-05

Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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 2021-09-03

Citation on 2018-09-06

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 2018-09-28

Citation on 2018-09-06

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 2018-09-28

Citation on 2018-09-06

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

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 2018-09-28


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 2022-12-19

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 2023-01-17

Citation on 2022-12-19

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 2023-01-17

Citation on 2022-12-19

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 2023-01-17

Citation on 2022-12-19

Type: Fire Safety, Tag: 0511, Version: New

Description: Have properly installed electrical wiring and gas equipment.

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 2023-01-17