Grand Bay Convalescent Home, Inc. - Grand Bay Nursing Home
General Information
UPDATEFederal Provider Number
15406
Provider Name
GRAND BAY CONVALESCENT HOME, INC.
Provider Address
13750 HIGHWAY 90 WEST P.O. BOX 328
GRAND BAY, AL 36541
GRAND BAY, AL 36541
Provider Phone Number
2518656443
Provider SSA County
480
Provider County Name
Mobile
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND BAY CONVALESCENT HOME INC
Date First Approved to Provide Medicare and Medicaid services
1993-06-29
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.84477
Reported LPN Staffing Hours per Resident per Day
0.77907
Reported RN Staffing Hours per Resident per Day
0.36570
Reported Licensed Staffing Hours per Resident per Day
1.14477
Reported Total Nurse Staffing Hours per Resident per Day
4.98954
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00640
Expected CNA Staffing Hours per Resident per Day
2.31203
Expected LPN Staffing Hours per Resident per Day
0.70193
Expected RN Staffing Hours per Resident per Day
0.94543
Expected Total Nurse Staffing Hours per Resident per Day
3.95939
Adjusted CNA Staffing Hours per Resident per Day
4.08036
Adjusted LPN Staffing Hours per Resident per Day
0.92122
Adjusted RN Staffing Hours per Resident per Day
0.28902
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07966
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-22
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.00000
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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