Meadowbrook Extended Care - Birmingham Nursing Home
General Information
UPDATEFederal Provider Number
15642
Provider Name
MEADOWBROOK EXTENDED CARE
Provider Address
700 CORPORATE RIDGE
BIRMINGHAM, AL 35242
BIRMINGHAM, AL 35242
Provider Phone Number
(205) 991-8900
Provider SSA County
580
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-11-22
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
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
3.71400
Reported LPN Staffing Hours per Resident per Day
2.11400
Reported RN Staffing Hours per Resident per Day
1.28800
Reported Licensed Staffing Hours per Resident per Day
3.40200
Reported Total Nurse Staffing Hours per Resident per Day
7.11600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14000
Expected CNA Staffing Hours per Resident per Day
2.36856
Expected LPN Staffing Hours per Resident per Day
0.68506
Expected RN Staffing Hours per Resident per Day
1.37913
Expected Total Nurse Staffing Hours per Resident per Day
4.43276
Adjusted CNA Staffing Hours per Resident per Day
3.84750
Adjusted LPN Staffing Hours per Resident per Day
2.56127
Adjusted RN Staffing Hours per Resident per Day
0.69782
Adjusted Total Nurse Staffing Hours per Resident per Day
6.47089
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-04-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-06-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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