Provider Name: CHURCH HOME REHABILITATION AND HEALTHCARE
Address: 2470 HWY 41 N, FORT VALLEY, GA 31030
Phone: (478) 987-1239
County: Houston (600)
Ownership Type: Non profit - Church related
Certified Beds: 75
Average Residents Per Day: 69.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CHURCH HOME REHABILITATION AND HEALTHCARE, LLC
First Approved Date: November 1, 2005
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: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.52729, LPN Staff Hours Per Day: 1.4021, RN Staff Hours Per Day: 0.2691, Licensed Staff Hours Per Day: 1.6713
Total Nurse Staff Hours Per Day, per resident: 4.19859
Weekend Nurse Staff Hours: 3.21497, Weekend RN Staff Hours: 0.1747
PT Staff Hours Per Day, per resident: 0.0528
Nurse Staff Turnover: 58.5, Nurse Turnover Note:
RN Turnover: 80.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2057, Case Mix LPN Hours Per Day: 0.7715, Case Mix RN Hours Per Day: 0.3746
Adjusted Nurse Aide Hours Per Day, per resident: 2.33421, Adjusted LPN Hours Per Day: 1.3410, Adjusted RN Hours Per Day: 0.2706
Total Adjusted Nurse Hours Per Day, per resident: 3.94809
Adjusted Weekend Nurse Hours Per Day, per resident: 3.02316
Health Survey Dates and Scores: Cycle 1: 2022-05-05 (Score: 0), Cycle 2: 2019-02-14 (Score: 16), Cycle 3: 2018-02-21 (Score: 0)
Total Weighted Health Score: 5.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 657.80, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 2470 HWY 41 N,FORT VALLEY,GA,31030 (32.5234, -83.722)
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: 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 2019-03-26
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: 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 date of correction on 2019-03-26
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 2018-04-07
Type: Fire Safety, Tag: 0352, Version: New
Description: Properly install and monitor supervisory attachments on automatic sprinkler systems.
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 2018-04-07
Type: Fire Safety, Tag: 0374, Version: New
Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.
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 2018-04-07