Woodhaven Manor Nursing Home - Demopolis Nursing Home
General Information
UPDATEFederal Provider Number
15177
Provider Name
WOODHAVEN MANOR NURSING HOME
Provider Address
105 WEST WINDSOR ST
DEMOPOLIS, AL 36732
DEMOPOLIS, AL 36732
Provider Phone Number
3342892741
Provider SSA County
450
Provider County Name
Marengo
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODHAVEN MANOR NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.33889
Reported LPN Staffing Hours per Resident per Day
1.36032
Reported RN Staffing Hours per Resident per Day
0.47143
Reported Licensed Staffing Hours per Resident per Day
1.83175
Reported Total Nurse Staffing Hours per Resident per Day
5.17064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04524
Expected CNA Staffing Hours per Resident per Day
2.39974
Expected LPN Staffing Hours per Resident per Day
0.62647
Expected RN Staffing Hours per Resident per Day
0.89870
Expected Total Nurse Staffing Hours per Resident per Day
3.92492
Adjusted CNA Staffing Hours per Resident per Day
3.41396
Adjusted LPN Staffing Hours per Resident per Day
1.80225
Adjusted RN Staffing Hours per Resident per Day
0.39196
Adjusted Total Nurse Staffing Hours per Resident per Day
5.31026
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-18
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
17.33300
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
Nursiong Homes Nearby
Marengo Nursing Home
608 North Main Street |
LINDEN AL 36748 | 13.2 miles away
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