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Jacksonville Health And Rehabilitation, Llc - Jacksonville Nursing Home

General Information

UPDATE
Federal Provider Number
15391
Provider Name
JACKSONVILLE HEALTH AND REHABILITATION, LLC
Provider Address
410 WILSON DRIVE SOUTHWEST
JACKSONVILLE, AL 36265
Provider Phone Number
2564357704
Provider SSA County
70
Provider County Name
Calhoun
Ownership Type
For profit - Corporation
Number of Certified Beds
167
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSONVILLE HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-10-23
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
2
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
3.33285
Reported LPN Staffing Hours per Resident per Day
1.10000
Reported RN Staffing Hours per Resident per Day
0.55036
Reported Licensed Staffing Hours per Resident per Day
1.65036
Reported Total Nurse Staffing Hours per Resident per Day
4.98321
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07518
Expected CNA Staffing Hours per Resident per Day
2.40808
Expected LPN Staffing Hours per Resident per Day
0.62788
Expected RN Staffing Hours per Resident per Day
0.95738
Expected Total Nurse Staffing Hours per Resident per Day
3.99334
Adjusted CNA Staffing Hours per Resident per Day
3.39600
Adjusted LPN Staffing Hours per Resident per Day
1.45410
Adjusted RN Staffing Hours per Resident per Day
0.42953
Adjusted Total Nurse Staffing Hours per Resident per Day
5.03008
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-16
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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