Citronelle Health And Rehabilitation Center - Citronelle Nursing Home
General Information
UPDATEFederal Provider Number
15121
Provider Name
CITRONELLE HEALTH AND REHABILITATION CENTER
Provider Address
19225 NORTH 4TH STREET
CITRONELLE, AL 36522
CITRONELLE, AL 36522
Provider Phone Number
(251) 866-5509
Provider SSA County
480
Provider County Name
Mobile
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AL CITRONELLE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.09154
Reported LPN Staffing Hours per Resident per Day
0.55846
Reported RN Staffing Hours per Resident per Day
0.77538
Reported Licensed Staffing Hours per Resident per Day
1.33385
Reported Total Nurse Staffing Hours per Resident per Day
3.42538
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00769
Expected CNA Staffing Hours per Resident per Day
2.51037
Expected LPN Staffing Hours per Resident per Day
0.64588
Expected RN Staffing Hours per Resident per Day
0.93305
Expected Total Nurse Staffing Hours per Resident per Day
4.08929
Adjusted CNA Staffing Hours per Resident per Day
2.04432
Adjusted LPN Staffing Hours per Resident per Day
0.71766
Adjusted RN Staffing Hours per Resident per Day
0.62094
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37647
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
8
Cycle 1 Standard Survey Health Date
2014-12-18
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
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
28
Total Weighted Health Survey Score
8.66700
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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