Caregivers Of Pleasant Grove, Inc - Pleasant Grove Nursing Home
General Information
UPDATEFederal Provider Number
15044
Provider Name
CAREGIVERS OF PLEASANT GROVE, INC
Provider Address
700 FIRST AVENUE
PLEASANT GROVE, AL 35127
PLEASANT GROVE, AL 35127
Provider Phone Number
(205) 744-8120
Provider SSA County
360
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAREGIVERS OF PLEASANT GROVE INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-13
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.77000
Reported LPN Staffing Hours per Resident per Day
1.27091
Reported RN Staffing Hours per Resident per Day
0.72364
Reported Licensed Staffing Hours per Resident per Day
1.99455
Reported Total Nurse Staffing Hours per Resident per Day
4.76455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21909
Expected CNA Staffing Hours per Resident per Day
2.21359
Expected LPN Staffing Hours per Resident per Day
0.60233
Expected RN Staffing Hours per Resident per Day
0.93658
Expected Total Nurse Staffing Hours per Resident per Day
3.75250
Adjusted CNA Staffing Hours per Resident per Day
3.07046
Adjusted LPN Staffing Hours per Resident per Day
1.75128
Adjusted RN Staffing Hours per Resident per Day
0.57732
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11803
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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