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
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 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
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
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
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
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
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
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
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: 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
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
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