Montgomery Children's Specialty Center - Montgomery Nursing Home
General Information
UPDATEFederal Provider Number
01A208
Provider Name
MONTGOMERY CHILDREN'S SPECIALTY CENTER
Provider Address
2853 FORBES DRIVE
MONTGOMERY, AL 36110
MONTGOMERY, AL 36110
Provider Phone Number
(334) 263-4221
Provider SSA County
500
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
53
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2010-11-18
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44057
Reported LPN Staffing Hours per Resident per Day
1.21698
Reported RN Staffing Hours per Resident per Day
0.52830
Reported Licensed Staffing Hours per Resident per Day
1.74528
Reported Total Nurse Staffing Hours per Resident per Day
4.18585
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04057
Expected CNA Staffing Hours per Resident per Day
2.79514
Expected LPN Staffing Hours per Resident per Day
0.89593
Expected RN Staffing Hours per Resident per Day
1.20897
Expected Total Nurse Staffing Hours per Resident per Day
4.90005
Adjusted CNA Staffing Hours per Resident per Day
2.14244
Adjusted LPN Staffing Hours per Resident per Day
1.12742
Adjusted RN Staffing Hours per Resident per Day
0.32651
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44338
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
20
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
20
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
2013-10-10
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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