Camden Nursing Facility Inc. - Camden Nursing Home
General Information
UPDATEFederal Provider Number
15374
Provider Name
CAMDEN NURSING FACILITY INC.
Provider Address
210 PONDEROSA DRIVE
CAMDEN, AL 36726
CAMDEN, AL 36726
Provider Phone Number
(334) 682-4231
Provider SSA County
650
Provider County Name
Wilcox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMDEN NURSING FACILITY INC
Date First Approved to Provide Medicare and Medicaid services
1980-10-24
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.63500
Reported LPN Staffing Hours per Resident per Day
1.25563
Reported RN Staffing Hours per Resident per Day
0.41938
Reported Licensed Staffing Hours per Resident per Day
1.67500
Reported Total Nurse Staffing Hours per Resident per Day
5.31001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01438
Expected CNA Staffing Hours per Resident per Day
2.25881
Expected LPN Staffing Hours per Resident per Day
0.52586
Expected RN Staffing Hours per Resident per Day
0.75366
Expected Total Nurse Staffing Hours per Resident per Day
3.53832
Adjusted CNA Staffing Hours per Resident per Day
3.94863
Adjusted LPN Staffing Hours per Resident per Day
1.98186
Adjusted RN Staffing Hours per Resident per Day
0.41579
Adjusted Total Nurse Staffing Hours per Resident per Day
6.04923
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
24
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
24
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
28.00000
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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