Plantation Manor Nursing Home - Mccalla Nursing Home

General Information

Federal Provider Number
015015
Provider Name
PLANTATION MANOR NURSING HOME
Provider Address
6450 OLD TUSCALOOSA HIGHWAY P O BOX 97
MC CALLA, AL 35111
Provider Phone Number
2054776161
Provider SSA County
360
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C & G HEALTHCARE SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1971-07-01
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
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
2.59670
Reported LPN Staffing Hours per Resident per Day
0.87637
Reported RN Staffing Hours per Resident per Day
0.70879
Reported Licensed Staffing Hours per Resident per Day
1.58516
Reported Total Nurse Staffing Hours per Resident per Day
4.18186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00879
Expected CNA Staffing Hours per Resident per Day
2.25253
Expected LPN Staffing Hours per Resident per Day
0.55116
Expected RN Staffing Hours per Resident per Day
0.81357
Expected Total Nurse Staffing Hours per Resident per Day
3.61725
Adjusted CNA Staffing Hours per Resident per Day
2.82861
Adjusted LPN Staffing Hours per Resident per Day
1.31974
Adjusted RN Staffing Hours per Resident per Day
0.65097
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66007
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
Cycle 1 Total Health Score
52
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
24
Cycle 2 Standard Health Survey Date
2014-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
36.66700
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