Cordova Health And Rehabilitation, Llc - Cordova Nursing Home
General Information
UPDATEFederal Provider Number
15115
Provider Name
CORDOVA HEALTH AND REHABILITATION, LLC
Provider Address
70 HIGHLAND STREET WEST
CORDOVA, AL 35550
CORDOVA, AL 35550
Provider Phone Number
(205) 483-9282
Provider SSA County
630
Provider County Name
Walker
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORDOVA HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.18632
Reported LPN Staffing Hours per Resident per Day
0.97972
Reported RN Staffing Hours per Resident per Day
0.41698
Reported Licensed Staffing Hours per Resident per Day
1.39670
Reported Total Nurse Staffing Hours per Resident per Day
4.58302
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05377
Expected CNA Staffing Hours per Resident per Day
2.66751
Expected LPN Staffing Hours per Resident per Day
0.63976
Expected RN Staffing Hours per Resident per Day
0.92701
Expected Total Nurse Staffing Hours per Resident per Day
4.23428
Adjusted CNA Staffing Hours per Resident per Day
2.93093
Adjusted LPN Staffing Hours per Resident per Day
1.27105
Adjusted RN Staffing Hours per Resident per Day
0.33610
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36289
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
24
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
40
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
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
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