Crowne Health Care Of Ft Payne - Fort Payne Nursing Home
General Information
UPDATEFederal Provider Number
15156
Provider Name
CROWNE HEALTH CARE OF FT PAYNE
Provider Address
403 13TH STREET NORTHWEST
FORT PAYNE, AL 35967
FORT PAYNE, AL 35967
Provider Phone Number
(256) 845-5990
Provider SSA County
240
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROWNE HEALTH CARE OF FORT PAYNE, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75727
Reported LPN Staffing Hours per Resident per Day
0.33591
Reported RN Staffing Hours per Resident per Day
1.01955
Reported Licensed Staffing Hours per Resident per Day
1.35545
Reported Total Nurse Staffing Hours per Resident per Day
4.11273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01955
Expected CNA Staffing Hours per Resident per Day
2.51300
Expected LPN Staffing Hours per Resident per Day
0.58374
Expected RN Staffing Hours per Resident per Day
0.85311
Expected Total Nurse Staffing Hours per Resident per Day
3.94985
Adjusted CNA Staffing Hours per Resident per Day
2.69221
Adjusted LPN Staffing Hours per Resident per Day
0.47762
Adjusted RN Staffing Hours per Resident per Day
0.89298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19712
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
16
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
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
24
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
20
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
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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