Provider Name: PALEMON GASKINS MEM NSG HOME
Address: 710 NORTH IRWIN AVENUE, OCILLA, GA 31774
Phone: (229) 468-3890
County: Irwin (601)
Ownership Type: Government - County
Certified Beds: 30
Average Residents Per Day: 24.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: IRWIN COUNTY HOSPITAL
First Approved Date: December 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: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.61599, LPN Staff Hours Per Day: 1.1871, RN Staff Hours Per Day: 0.7190, Licensed Staff Hours Per Day: 1.9062
Total Nurse Staff Hours Per Day, per resident: 4.52219
Weekend Nurse Staff Hours: 3.75631, Weekend RN Staff Hours: 0.5295
PT Staff Hours Per Day, per resident: 0.0002
Nurse Staff Turnover: 36.4, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.0265, Case Mix LPN Hours Per Day: 0.6168, Case Mix RN Hours Per Day: 0.2291
Adjusted Nurse Aide Hours Per Day, per resident: 2.62978, Adjusted LPN Hours Per Day: 1.4202, Adjusted RN Hours Per Day: 1.1824
Total Adjusted Nurse Hours Per Day, per resident: 4.96218
Adjusted Weekend Nurse Hours Per Day, per resident: 4.12178
Health Survey Dates and Scores: Cycle 1: 2023-07-02 (Score: 4), Cycle 2: 2021-12-02 (Score: 8), Cycle 3: 2019-08-22 (Score: 0)
Total Weighted Health Score: 4.667
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: 710 NORTH IRWIN AVENUE,OCILLA,GA,31774 (31.6028, -83.250)
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: 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 2023-08-16
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2022-01-11
Type: Health, Deficiency: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 2022-01-11
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: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
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 2023-08-16
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 date of correction on 2023-08-16
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
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 2019-08-26