Glen Haven Health And Rehabilitation, Llc - Northport Nursing Home
General Information
UPDATEFederal Provider Number
15186
Provider Name
GLEN HAVEN HEALTH AND REHABILITATION, LLC
Provider Address
2201 32ND STREET
NORTHPORT, AL 35476
NORTHPORT, AL 35476
Provider Phone Number
(205) 339-5700
Provider SSA County
620
Provider County Name
Tuscaloosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
177
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80621
Reported LPN Staffing Hours per Resident per Day
1.06045
Reported RN Staffing Hours per Resident per Day
0.63390
Reported Licensed Staffing Hours per Resident per Day
1.69435
Reported Total Nurse Staffing Hours per Resident per Day
4.50056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05452
Expected CNA Staffing Hours per Resident per Day
2.44824
Expected LPN Staffing Hours per Resident per Day
0.61946
Expected RN Staffing Hours per Resident per Day
0.94527
Expected Total Nurse Staffing Hours per Resident per Day
4.01298
Adjusted CNA Staffing Hours per Resident per Day
2.81247
Adjusted LPN Staffing Hours per Resident per Day
1.42086
Adjusted RN Staffing Hours per Resident per Day
0.50107
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52066
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-06
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
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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