Columbiana Health And Rehabilitation, Llc - Columbiana Nursing Home
General Information
UPDATEFederal Provider Number
15453
Provider Name
COLUMBIANA HEALTH AND REHABILITATION, LLC
Provider Address
22969 HIGHWAY 25
COLUMBIANA, AL 35051
COLUMBIANA, AL 35051
Provider Phone Number
(205) 669-1712
Provider SSA County
580
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2004-12-15
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53629
Reported LPN Staffing Hours per Resident per Day
0.68710
Reported RN Staffing Hours per Resident per Day
0.45806
Reported Licensed Staffing Hours per Resident per Day
1.14516
Reported Total Nurse Staffing Hours per Resident per Day
3.68145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04032
Expected CNA Staffing Hours per Resident per Day
2.65952
Expected LPN Staffing Hours per Resident per Day
0.63341
Expected RN Staffing Hours per Resident per Day
0.96994
Expected Total Nurse Staffing Hours per Resident per Day
4.26287
Adjusted CNA Staffing Hours per Resident per Day
2.34001
Adjusted LPN Staffing Hours per Resident per Day
0.90036
Adjusted RN Staffing Hours per Resident per Day
0.35287
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48112
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2014-01-16
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.66700
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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