Haleyville Health Care Center - Haleyville Nursing Home
General Information
UPDATEFederal Provider Number
15157
Provider Name
HALEYVILLE HEALTH CARE CENTER
Provider Address
2201 11TH AVENUE
HALEYVILLE, AL 35565
HALEYVILLE, AL 35565
Provider Phone Number
(205) 486-9478
Provider SSA County
660
Provider County Name
Winston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HALEYVILLE HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1977-03-01
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
5
Health Inspection Rating Footnote
QM Rating
2
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
2.83542
Reported LPN Staffing Hours per Resident per Day
0.93264
Reported RN Staffing Hours per Resident per Day
0.43056
Reported Licensed Staffing Hours per Resident per Day
1.36319
Reported Total Nurse Staffing Hours per Resident per Day
4.19862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03958
Expected CNA Staffing Hours per Resident per Day
2.33090
Expected LPN Staffing Hours per Resident per Day
0.60409
Expected RN Staffing Hours per Resident per Day
0.89438
Expected Total Nurse Staffing Hours per Resident per Day
3.82936
Adjusted CNA Staffing Hours per Resident per Day
2.98480
Adjusted LPN Staffing Hours per Resident per Day
1.28143
Adjusted RN Staffing Hours per Resident per Day
0.35971
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41959
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2014-01-08
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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