Willow Trace Health And Rehabilitation Center - Butler Nursing Home

General Information

UPDATE
Federal Provider Number
15164
Provider Name
WILLOW TRACE HEALTH AND REHABILITATION CENTER
Provider Address
1406 EAST PUSHMATAHA STREET
BUTLER, AL 36904
Provider Phone Number
2054595506
Provider SSA County
110
Provider County Name
Choctaw
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AL WILLOW TREE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.35366
Reported LPN Staffing Hours per Resident per Day
0.83963
Reported RN Staffing Hours per Resident per Day
0.75000
Reported Licensed Staffing Hours per Resident per Day
1.58963
Reported Total Nurse Staffing Hours per Resident per Day
3.94329
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02683
Expected CNA Staffing Hours per Resident per Day
2.28958
Expected LPN Staffing Hours per Resident per Day
0.63024
Expected RN Staffing Hours per Resident per Day
0.97566
Expected Total Nurse Staffing Hours per Resident per Day
3.89548
Adjusted CNA Staffing Hours per Resident per Day
2.52238
Adjusted LPN Staffing Hours per Resident per Day
1.10576
Adjusted RN Staffing Hours per Resident per Day
0.57438
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08038
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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