Collinsville Healthcare & Rehab - Collinsville Nursing Home
General Information
UPDATEFederal Provider Number
15207
Provider Name
COLLINSVILLE HEALTHCARE & REHAB
Provider Address
685 NORTH VALLEY AVE
COLLINSVILLE, AL 35961
COLLINSVILLE, AL 35961
Provider Phone Number
2565242117
Provider SSA County
240
Provider County Name
De Kalb
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
192
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLLINSVILLE NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1977-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
3.78411
Reported LPN Staffing Hours per Resident per Day
0.98255
Reported RN Staffing Hours per Resident per Day
0.89036
Reported Licensed Staffing Hours per Resident per Day
1.87292
Reported Total Nurse Staffing Hours per Resident per Day
5.65702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03359
Expected CNA Staffing Hours per Resident per Day
2.66531
Expected LPN Staffing Hours per Resident per Day
0.69987
Expected RN Staffing Hours per Resident per Day
0.95484
Expected Total Nurse Staffing Hours per Resident per Day
4.32003
Adjusted CNA Staffing Hours per Resident per Day
3.48367
Adjusted LPN Staffing Hours per Resident per Day
1.16523
Adjusted RN Staffing Hours per Resident per Day
0.69674
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27841
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
2014-08-14
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
2013-07-25
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
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
Nursiong Homes Nearby
Crossville Health And Rehabilitation, Llc
8922 Highway 227 |
CROSSVILLE AL 35962 | 7.6 miles away
Crowne Health Care Of Ft Payne
403 13th Street Northwest |
FORT PAYNE AL 35967 | 14.9 miles away
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