Crossville Health And Rehabilitation, Llc - Crossville Nursing Home
General Information
UPDATEFederal Provider Number
15176
Provider Name
CROSSVILLE HEALTH AND REHABILITATION, LLC
Provider Address
8922 HIGHWAY 227
CROSSVILLE, AL 35962
CROSSVILLE, AL 35962
Provider Phone Number
(256) 528-7844
Provider SSA County
240
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
143
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROSSVILLE HEALTH AND REHABILITATION 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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49604
Reported LPN Staffing Hours per Resident per Day
0.97842
Reported RN Staffing Hours per Resident per Day
0.55324
Reported Licensed Staffing Hours per Resident per Day
1.53165
Reported Total Nurse Staffing Hours per Resident per Day
4.02770
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00504
Expected CNA Staffing Hours per Resident per Day
2.65768
Expected LPN Staffing Hours per Resident per Day
0.66143
Expected RN Staffing Hours per Resident per Day
0.94675
Expected Total Nurse Staffing Hours per Resident per Day
4.26586
Adjusted CNA Staffing Hours per Resident per Day
2.30447
Adjusted LPN Staffing Hours per Resident per Day
1.22777
Adjusted RN Staffing Hours per Resident per Day
0.43663
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80586
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-08-29
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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