Goodwater Healthcare Center - Goodwater Nursing Home
General Information
UPDATEFederal Provider Number
15204
Provider Name
GOODWATER HEALTHCARE CENTER
Provider Address
16 JONES HILL ROAD
GOODWATER, AL 35072
GOODWATER, AL 35072
Provider Phone Number
2568396711
Provider SSA County
180
Provider County Name
Coosa
Ownership Type
For profit - Individual
Number of Certified Beds
72
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOODWATER HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.67909
Reported LPN Staffing Hours per Resident per Day
0.84364
Reported RN Staffing Hours per Resident per Day
0.58455
Reported Licensed Staffing Hours per Resident per Day
1.42818
Reported Total Nurse Staffing Hours per Resident per Day
4.10728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.21080
Expected LPN Staffing Hours per Resident per Day
0.56385
Expected RN Staffing Hours per Resident per Day
0.72510
Expected Total Nurse Staffing Hours per Resident per Day
3.49974
Adjusted CNA Staffing Hours per Resident per Day
2.97344
Adjusted LPN Staffing Hours per Resident per Day
1.24187
Adjusted RN Staffing Hours per Resident per Day
0.60237
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73064
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
20
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
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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