Jackson Health Care Facility - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
15188
Provider Name
JACKSON HEALTH CARE FACILITY
Provider Address
2616 NORTH COLLEGE AVENUE
JACKSON, AL 36545
JACKSON, AL 36545
Provider Phone Number
(251) 246-2476
Provider SSA County
120
Provider County Name
Clarke
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON HEALTH CARE FACILITY, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04795
Reported LPN Staffing Hours per Resident per Day
1.13014
Reported RN Staffing Hours per Resident per Day
0.57808
Reported Licensed Staffing Hours per Resident per Day
1.70822
Reported Total Nurse Staffing Hours per Resident per Day
4.75617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04041
Expected CNA Staffing Hours per Resident per Day
2.45170
Expected LPN Staffing Hours per Resident per Day
0.67881
Expected RN Staffing Hours per Resident per Day
0.99855
Expected Total Nurse Staffing Hours per Resident per Day
4.12905
Adjusted CNA Staffing Hours per Resident per Day
3.05044
Adjusted LPN Staffing Hours per Resident per Day
1.38186
Adjusted RN Staffing Hours per Resident per Day
0.43257
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64311
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
8
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
13.33300
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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