Merry Wood Lodge Care And Rehabilitation Center - Elmore Nursing Home
General Information
UPDATEFederal Provider Number
015019
Provider Name
MERRY WOOD LODGE CARE AND REHABILITATION CENTER
Provider Address
P O BOX 130
ELMORE, AL 36025
ELMORE, AL 36025
Provider Phone Number
(334) 567-8484
Provider SSA County
250
Provider County Name
Elmore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
109
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
1974-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.02615
Reported LPN Staffing Hours per Resident per Day
0.14174
Reported RN Staffing Hours per Resident per Day
0.87431
Reported Licensed Staffing Hours per Resident per Day
1.01606
Reported Total Nurse Staffing Hours per Resident per Day
3.04220
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04404
Expected CNA Staffing Hours per Resident per Day
2.29485
Expected LPN Staffing Hours per Resident per Day
0.60347
Expected RN Staffing Hours per Resident per Day
0.94237
Expected Total Nurse Staffing Hours per Resident per Day
3.84070
Adjusted CNA Staffing Hours per Resident per Day
2.16640
Adjusted LPN Staffing Hours per Resident per Day
0.19495
Adjusted RN Staffing Hours per Resident per Day
0.69323
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19286
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-30
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
9
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
48
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
48
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-04-01
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