Folsom Center For Rehabilitation And Healthcare, T - Cullman Nursing Home
General Information
UPDATEFederal Provider Number
15437
Provider Name
FOLSOM CENTER FOR REHABILITATION AND HEALTHCARE, T
Provider Address
401 ARNOLD STREET N.E.
CULLMAN, AL 35055
CULLMAN, AL 35055
Provider Phone Number
(256) 739-4409
Provider SSA County
210
Provider County Name
Cullman
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
USA HEALTHCARE LTC LLC
Date First Approved to Provide Medicare and Medicaid services
1998-06-18
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.66304
Reported LPN Staffing Hours per Resident per Day
1.10543
Reported RN Staffing Hours per Resident per Day
0.52826
Reported Licensed Staffing Hours per Resident per Day
1.63370
Reported Total Nurse Staffing Hours per Resident per Day
4.29673
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03859
Expected CNA Staffing Hours per Resident per Day
2.40702
Expected LPN Staffing Hours per Resident per Day
0.64381
Expected RN Staffing Hours per Resident per Day
0.99181
Expected Total Nurse Staffing Hours per Resident per Day
4.04264
Adjusted CNA Staffing Hours per Resident per Day
2.71469
Adjusted LPN Staffing Hours per Resident per Day
1.42512
Adjusted RN Staffing Hours per Resident per Day
0.39797
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28426
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-28
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
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
2013-09-06
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
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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