RETREAT, THE Nursing Home


RETREAT, THE (CCN: 115675) is a Non profit - Corporation facility located in MONTICELLO, GA (31064). The facility has an overall rating of 3/5, health inspection rating of 2/5, and a staffing rating of 5/5. It offers 55 certified beds and maintains an average of 44.9 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.52909 total hours per resident per day. It has been certified since August 6, 2001 and the last listed health inspection was on November 12, 2023, The facility is located in Jasper county and provides senior and nursing home care.

RETREAT, THE Summary


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Provider Name: RETREAT, THE

Address: 898 COLLEGE ST, MONTICELLO, GA 31064

Phone: (706) 468-8826

County: Jasper (611)

Ownership Type: Non profit - Corporation

Certified Beds: 55

Average Residents Per Day: 44.9 ()

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

Legal Business Name: JASPER HEALTH SERVICES INC.

First Approved Date: August 6, 2001

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 3 ()

Health Inspection Rating: 2 ()

QM Rating: 4 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: (2)

Staffing Rating: 5 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.68846, LPN Staff Hours Per Day: 0.9780, RN Staff Hours Per Day: 0.8625, Licensed Staff Hours Per Day: 1.8406

Total Nurse Staff Hours Per Day, per resident: 4.52909

Weekend Nurse Staff Hours: 4.14890, Weekend RN Staff Hours: 0.6237

PT Staff Hours Per Day, per resident: 0.0000

Nurse Staff Turnover: 49.1, Nurse Turnover Note:

RN Turnover: 33.3, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9082, Case Mix LPN Hours Per Day: 0.6558, Case Mix RN Hours Per Day: 0.2662

Adjusted Nurse Aide Hours Per Day, per resident: 2.87025, Adjusted LPN Hours Per Day: 1.1005, Adjusted RN Hours Per Day: 1.2210

Total Adjusted Nurse Hours Per Day, per resident: 5.04406

Adjusted Weekend Nurse Hours Per Day, per resident: 4.62063

Health Survey Dates and Scores: Cycle 1: 2023-11-12 (Score: 24), Cycle 2: 2022-05-08 (Score: 4), Cycle 3: 2019-12-12 (Score: 145)

Total Weighted Health Score: 37.500

Reported Incidents: 1, Substantiated Complaints: 1

Infection Control Citations:

Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 29425.50, Payment Denials Number: 0, Total Penalties Number: 3

Location and GPS: 898 COLLEGE ST,MONTICELLO,GA,31064 (33.3138, -83.687)

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 2023-05-26

Type: Health, Deficiency: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Past Non-Compliance on 2023-05-23

Citation on 2023-11-12

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 2023-12-27

Citation on 2022-05-08

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 2022-06-22

Citation on 2021-05-13

Type: Health, Deficiency: Respond appropriately to all alleged violations.

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 2021-06-07

Citation on 2021-05-13

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: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-07

Citation on 2021-05-13

Type: Health, Deficiency: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-07

Citation on 2019-12-12

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 2020-01-26


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 2019-12-10

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

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 2020-01-26

Citation on 2019-12-10

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 2020-01-26

Citation on 2019-12-10

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 2020-01-26