SHADY ACRES
NPI 1912036989
Respite Care in Douglas, GA

Q: What is Coffee County Nursing Home, LLC's NPI number?

The NPI number for Coffee County Nursing Home, LLC is 1912036989. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Shady Acres.

Q: What is Coffee County Nursing Home, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Q: What quality rating does Coffee County Nursing Home, LLC have?

CMS rates Vista Park Health And Rehabilitation 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since March 05, 2007

5/5

Overall Rating

1310 GORDON ST W, DOUGLAS, GA 31533(912) 384-7811(912) 384-7695 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shady Acres NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY ACRES (NPI 1912036989) is a healthcare organization registered as a respite care in Douglas, Georgia and active in the NPI registry since March 2007. The organization lists Kim Sheffield, Vp Of Financial Reporting, as its authorized official.

NPPES Registry Identity

NPI1912036989

Entity TypeOrganization

Primary Taxonomy385H00000X

Legal Business NameCOFFEE COUNTY NURSING HOME, LLC

Location Address1310 GORDON ST WDouglas, GA 31533-3432

Mailing Address1310 Gordon St WDouglas, GA 31533-3432 · (912) 384-7811 · Fax (912) 384-7695

Phone(912) 384-7811

Fax(912) 384-7695

Organization SubpartNo

Authorized OfficialKim SheffieldVp Of Financial Reporting · (478) 621-2100

Enumeration DateMarch 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912036989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility

Taxonomy Code385H00000X

License✔ Licensed in GA · 1-056-1784

1310 GORDON ST W, Douglas, GA 31533

Open in Google Maps ↗

Other Names 1

Doing Business AsShady Acres

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Vista Park Health And Rehabilitation (CMS certification number 115611), from CMS Care Compare.

Vista Park Health And Rehabilitation

Nursing home · Douglas, GA

5/5 CMS Overall Rating

OwnershipNon profit - Other

CMS Certification Number115611

Certified Beds168 beds101 residents per day on average

Medicare & Medicaid Participant SinceOctober 1, 1996

Resident & Family CouncilResident and family councils

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.43 · LPN 1.15 · RN 0.44

4.02 hrs per resident per day

Weekend Nurse Staffing

3.37 hrs per resident per day

Physical Therapist Staffing

0.02 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

26.7%

Registered Nurse Turnover

9.1%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COFFEE COUNTY NURSING HOME, LLC

Clinic/Center (Adult Day Care)

1310 GORDON ST W
DOUGLAS, GA 31533

Coffee County (912) 384-7811

COFFEE COUNTY NURSING HOME LLC

Skilled Nursing Facility

1310 GORDON ST W
DOUGLAS, GA 31533

Coffee County (912) 384-7811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffee County Nursing Home, LLC's NPI number?

The NPI number for Coffee County Nursing Home, LLC is 1912036989. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Shady Acres.

Where is Coffee County Nursing Home, LLC located?

Coffee County Nursing Home, LLC is located at 1310 Gordon St W, Douglas, GA 31533. The listed phone number is (912) 384-7811.

What is Coffee County Nursing Home, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Is Coffee County Nursing Home, LLC a Medicare-certified nursing home?

Yes. Vista Park Health And Rehabilitation is a Medicare-certified nursing home with 168 certified beds.

What quality rating does Coffee County Nursing Home, LLC have?

CMS rates Vista Park Health And Rehabilitation 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Coffee County Nursing Home, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.