Civic Center Health And Rehabilitation, Llc - Birmingham Nursing Home
General Information
UPDATEFederal Provider Number
15109
Provider Name
CIVIC CENTER HEALTH AND REHABILITATION, LLC
Provider Address
1201 22ND STREET NORTH
BIRMINGHAM, AL 35234
BIRMINGHAM, AL 35234
Provider Phone Number
2052515271
Provider SSA County
360
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CIVIC CENTER HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-04-04
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78720
Reported LPN Staffing Hours per Resident per Day
0.95366
Reported RN Staffing Hours per Resident per Day
0.31707
Reported Licensed Staffing Hours per Resident per Day
1.27073
Reported Total Nurse Staffing Hours per Resident per Day
4.05793
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03476
Expected CNA Staffing Hours per Resident per Day
2.64504
Expected LPN Staffing Hours per Resident per Day
0.66177
Expected RN Staffing Hours per Resident per Day
1.01014
Expected Total Nurse Staffing Hours per Resident per Day
4.31696
Adjusted CNA Staffing Hours per Resident per Day
2.58558
Adjusted LPN Staffing Hours per Resident per Day
1.19608
Adjusted RN Staffing Hours per Resident per Day
0.23454
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78904
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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BIRMINGHAM AL 35214 | 4 miles away
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BIRMINGHAM AL 35214 | 4.3 miles away
Fair Haven Retirement Center
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Fairview Health And Rehabilitation Center
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