SHADY ACRES
NPI 1912036989
Respite Care in Douglas, GA


Overall Rating: 5 out of 5 stars

NPI Status: Active since March 05, 2007

Contact Information

1310 GORDON ST W
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-7811
Fax: (912) 384-7695

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  • Organization
  • Respite Care

About SHADY ACRES

This page provides the complete NPI Profile along with additional information for Shady Acres, a provider established in Douglas, Georgia operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1912036989 assigned on March 2007. The practitioner's primary taxonomy code is 385H00000X with license number 1-056-1784 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Shady Acres. The authorized official of this NPI record is Kim Sheffield (Vp Of Financial Reporting)

NPI
1912036989
Provider Legal Name
COFFEE COUNTY NURSING HOME, LLC
Other Organization Name
SHADY ACRES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1310 GORDON ST W DOUGLAS, GA 31533
Location Phone
(912) 384-7811
Location Fax
(912) 384-7695
Mailing Address
1310 GORDON ST W DOUGLAS, GA 31533
Mailing Phone
(912) 384-7811
Mailing Fax
(912) 384-7695
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
08-22-2020
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According to the Nursing Home Compare program data, Shady Acres has a much above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 5 out of 5 stars provide a snapshot of this nursing home quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Respite Care

Taxonomy Code
385H00000X
Type
Respite Care Facility
License No.
1-056-1784
License State
GA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM SHEFFIELD

Authorized Official Title
VP OF FINANCIAL REPORTING
Authorized Official Phone
(478) 621-2100

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 5 out of 5 stars - Much Above Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 3 out of 5 stars - Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 3 out of 5 stars - Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 2 out of 5 stars - Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 4 out of 5 stars - Above Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.43 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.44 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover9.1%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeNon profit - Other
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds168 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day101 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

Reviews for SHADY ACRES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912036989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 0 + 3 + 1 + 2 + 9 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1912036989.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Adult Day Care)
1310 GORDON ST W
DOUGLAS, GA 31533
Skilled Nursing Facility
1310 GORDON ST W
DOUGLAS, GA 31533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912036989, enumerated as an "organization" on March 05, 2007.

The provider is located at 1310 GORDON ST W DOUGLAS, GA 31533 and the phone number is (912) 384-7811.

Respite Care with taxonomy code 385H00000X.