Burns Nursing Home, Inc - Russellville Nursing Home

General Information

Federal Provider Number
015009
Provider Name
BURNS NURSING HOME, INC
Provider Address
701 MONROE STREET NW
RUSSELLVILLE, AL 35653
Provider Phone Number
2563324110
Provider SSA County
290
Provider County Name
Franklin
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURNS NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1969-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37609
Reported LPN Staffing Hours per Resident per Day
1.04891
Reported RN Staffing Hours per Resident per Day
0.78152
Reported Licensed Staffing Hours per Resident per Day
1.83043
Reported Total Nurse Staffing Hours per Resident per Day
4.20652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01196
Expected CNA Staffing Hours per Resident per Day
2.45340
Expected LPN Staffing Hours per Resident per Day
0.59952
Expected RN Staffing Hours per Resident per Day
0.87466
Expected Total Nurse Staffing Hours per Resident per Day
3.92759
Adjusted CNA Staffing Hours per Resident per Day
2.37638
Adjusted LPN Staffing Hours per Resident per Day
1.45215
Adjusted RN Staffing Hours per Resident per Day
0.66763
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31717
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
Cycle 3 Number of Standard Health Deficiencies
Cycle 3 Number of Complaint Health Deficiencies
Cycle 3 Health Deficiency Score
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
Cycle 3 Health Revisit Score
Cycle 3 Total Health Score
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
Number of Substantiated Complaints
Number of Fines
Total Amount of Fines in Dollars
Number of Payment Denials
Total Number of Penalties
Location
Processing Date
2015-04-01