Eastern Shore Rehabilitation And Health Center - Daphne Nursing Home
General Information
UPDATEFederal Provider Number
15049
Provider Name
EASTERN SHORE REHABILITATION AND HEALTH CENTER
Provider Address
101 VILLA DRIVE P O BOX 1090
DAPHNE, AL 36526
DAPHNE, AL 36526
Provider Phone Number
(251) 621-4200
Provider SSA County
10
Provider County Name
Baldwin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESRHC LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-23
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
4
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
2.43800
Reported LPN Staffing Hours per Resident per Day
0.69500
Reported RN Staffing Hours per Resident per Day
1.05500
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
4.18800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07900
Expected CNA Staffing Hours per Resident per Day
2.43149
Expected LPN Staffing Hours per Resident per Day
0.72393
Expected RN Staffing Hours per Resident per Day
1.21995
Expected Total Nurse Staffing Hours per Resident per Day
4.37536
Adjusted CNA Staffing Hours per Resident per Day
2.46027
Adjusted LPN Staffing Hours per Resident per Day
0.79684
Adjusted RN Staffing Hours per Resident per Day
0.64617
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85829
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-23
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
16
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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