Mcrae Manor Nursing Home
160 South First Avenue, Mc Rae, GA 31055


Mcrae Manor Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 115494. The address is 160 South First Avenue, Mc Rae, GA 31055. The zip code is 31055. The phone number is 2298686473.


Mcrae Manor Nursing Home · 160 South First Avenue, Mc Rae, GA 31055

Federal Provider Number 115494
Provider Name MCRAE MANOR NURSING HOME
Address 160 SOUTH FIRST AVENUE
MC RAE, GA 31055
Phone Number 2298686473
SSA County Code 884
County Name Telfair
Ownership Type For profit - Corporation
Certified Beds 133
Certified Beds Residents 116
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PINE LEAF INVESTMENT INC
Date First Approved to Provide Medicare Medicaid Services 10/01/1989
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 2
Quality Measure Rating 1
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.34483
Reported LPN Staffing Hours per Resident per Day 1.35388
Reported RN Staffing Hours per Resident per Day 0.16121
Reported Licensed Staffing Hours per Resident per Day 1.51509
Reported Total Nurse Staffing Hours per Resident per Day 3.85992
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00603
Expected CNA Staffing Hours per Resident per Day 2.13075
Expected LPN Staffing Hours per Resident per Day 0.61282
Expected RN Staffing Hours per Resident per Day 0.9846
Expected Total Nurse Staffing Hours per Resident per Day 3.72817
Adjusted CNA Staffing Hours per Resident per Day 2.70023
Adjusted LPN Staffing Hours per Resident per Day 1.83369
Adjusted RN Staffing Hours per Resident per Day 0.12234
Adjusted Total Nurse Staffing Hours per Resident per Day 4.17335
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 09/30/2015
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 08/27/2014
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 10/12/2012
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 17.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mcrae Manor Nursing Home

Owner Name Role Association Date
COOK, SHEILA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 05/15/2013
COOK, SHEILA (Individual) DIRECTOR since 05/15/2013
COOK, SHEILA (Individual) MANAGING EMPLOYEE since 05/15/2013
COOK, SHEILA (Individual) OFFICER since 05/15/2013
COOK, TERRY (Individual) DIRECTOR since 05/15/2013
COOK, TERRY (Individual) MANAGING EMPLOYEE since 05/15/2013
COOK, TERRY (Individual) OFFICER since 05/15/2013
KIGHT, LYNN (Individual) MANAGING EMPLOYEE since 06/01/2004
LEGGETT, GAIL (Individual) MANAGING EMPLOYEE since 05/15/2013
PINE LEAF INVESTMENT INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/21/2013

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