Andalusia Manor - Andalusia Nursing Home
General Information
UPDATEFederal Provider Number
15416
Provider Name
ANDALUSIA MANOR
Provider Address
670 MOORE RD
ANDALUSIA, AL 36420
ANDALUSIA, AL 36420
Provider Phone Number
(334) 222-4544
Provider SSA County
190
Provider County Name
Covington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANDALUSIA MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-17
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.41719
Reported LPN Staffing Hours per Resident per Day
1.16094
Reported RN Staffing Hours per Resident per Day
0.47656
Reported Licensed Staffing Hours per Resident per Day
1.63750
Reported Total Nurse Staffing Hours per Resident per Day
5.05469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04453
Expected CNA Staffing Hours per Resident per Day
2.29825
Expected LPN Staffing Hours per Resident per Day
0.61068
Expected RN Staffing Hours per Resident per Day
0.85669
Expected Total Nurse Staffing Hours per Resident per Day
3.76563
Adjusted CNA Staffing Hours per Resident per Day
3.64832
Adjusted LPN Staffing Hours per Resident per Day
1.57787
Adjusted RN Staffing Hours per Resident per Day
0.41565
Adjusted Total Nurse Staffing Hours per Resident per Day
5.41077
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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