Madison Manor Nursing Home - Madison Nursing Home
General Information
UPDATEFederal Provider Number
15214
Provider Name
MADISON MANOR NURSING HOME
Provider Address
3891 SULLIVAN ST
MADISON, AL 35758
MADISON, AL 35758
Provider Phone Number
(256) 772-9243
Provider SSA County
440
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MADISON MANOR NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1982-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.32807
Reported LPN Staffing Hours per Resident per Day
1.12281
Reported RN Staffing Hours per Resident per Day
0.90175
Reported Licensed Staffing Hours per Resident per Day
2.02456
Reported Total Nurse Staffing Hours per Resident per Day
5.35263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.77567
Expected LPN Staffing Hours per Resident per Day
0.68509
Expected RN Staffing Hours per Resident per Day
0.97496
Expected Total Nurse Staffing Hours per Resident per Day
4.43572
Adjusted CNA Staffing Hours per Resident per Day
2.94202
Adjusted LPN Staffing Hours per Resident per Day
1.36030
Adjusted RN Staffing Hours per Resident per Day
0.69110
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86413
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
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
2014-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2013-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
75.33300
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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