Coosa Valley Nursing Facility - Sylacauga Nursing Home

General Information

Federal Provider Number
015010
Provider Name
COOSA VALLEY NURSING FACILITY
Provider Address
315 WEST HICKORY STREET
SYLACAUGA, AL 35150
Provider Phone Number
2562495604
Provider SSA County
600
Provider County Name
Talladega
Ownership Type
Non profit - Other
Number of Certified Beds
85
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE SYLACAUGA HEALTH CARE AUTHORITY INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72671
Reported LPN Staffing Hours per Resident per Day
1.11370
Reported RN Staffing Hours per Resident per Day
1.20548
Reported Licensed Staffing Hours per Resident per Day
2.31918
Reported Total Nurse Staffing Hours per Resident per Day
5.04589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03151
Expected CNA Staffing Hours per Resident per Day
2.14739
Expected LPN Staffing Hours per Resident per Day
0.57051
Expected RN Staffing Hours per Resident per Day
0.90864
Expected Total Nurse Staffing Hours per Resident per Day
3.62654
Adjusted CNA Staffing Hours per Resident per Day
3.11565
Adjusted LPN Staffing Hours per Resident per Day
1.62026
Adjusted RN Staffing Hours per Resident per Day
0.99130
Adjusted Total Nurse Staffing Hours per Resident per Day
5.60850
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
Number of Substantiated Complaints
2
Number of Fines
Total Amount of Fines in Dollars
Number of Payment Denials
Total Number of Penalties
Location
Processing Date
2015-04-01