Canterbury Health Care Facility - Phenix City Nursing Home
General Information
UPDATEFederal Provider Number
15382
Provider Name
CANTERBURY HEALTH CARE FACILITY
Provider Address
1720 KNOWLES ROAD
PHENIX CITY, AL 36869
PHENIX CITY, AL 36869
Provider Phone Number
(334) 291-0485
Provider SSA County
560
Provider County Name
Russell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
137
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE LEASING CORP.
Date First Approved to Provide Medicare and Medicaid services
1983-06-28
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.24303
Reported LPN Staffing Hours per Resident per Day
1.01639
Reported RN Staffing Hours per Resident per Day
0.71352
Reported Licensed Staffing Hours per Resident per Day
1.72992
Reported Total Nurse Staffing Hours per Resident per Day
3.97294
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09385
Expected CNA Staffing Hours per Resident per Day
2.41519
Expected LPN Staffing Hours per Resident per Day
0.61241
Expected RN Staffing Hours per Resident per Day
1.02647
Expected Total Nurse Staffing Hours per Resident per Day
4.05407
Adjusted CNA Staffing Hours per Resident per Day
2.27880
Adjusted LPN Staffing Hours per Resident per Day
1.37752
Adjusted RN Staffing Hours per Resident per Day
0.51939
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95024
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
22
Cycle 1 Total Health Score
66
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
65.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
16835
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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