Allen Memorial Home - Mobile Nursing Home
General Information
UPDATEFederal Provider Number
15098
Provider Name
ALLEN MEMORIAL HOME
Provider Address
735 SOUTH WASHINGTON AVENUE
MOBILE, AL 36603
MOBILE, AL 36603
Provider Phone Number
2514332642
Provider SSA County
480
Provider County Name
Mobile
Ownership Type
Non profit - Church related
Number of Certified Beds
119
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLEN MEMORIAL HOME
Date First Approved to Provide Medicare and Medicaid services
1973-05-05
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.73009
Reported LPN Staffing Hours per Resident per Day
0.98472
Reported RN Staffing Hours per Resident per Day
0.80139
Reported Licensed Staffing Hours per Resident per Day
1.78611
Reported Total Nurse Staffing Hours per Resident per Day
4.51620
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02639
Expected CNA Staffing Hours per Resident per Day
2.34623
Expected LPN Staffing Hours per Resident per Day
0.60310
Expected RN Staffing Hours per Resident per Day
0.96999
Expected Total Nurse Staffing Hours per Resident per Day
3.91932
Adjusted CNA Staffing Hours per Resident per Day
2.85514
Adjusted LPN Staffing Hours per Resident per Day
1.35519
Adjusted RN Staffing Hours per Resident per Day
0.61733
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64477
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
32
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-24
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
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
16
Total Weighted Health Survey Score
22.66700
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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