Nhc Healthcare, Moulton - Moulton Nursing Home
General Information
UPDATEFederal Provider Number
15128
Provider Name
NHC HEALTHCARE, MOULTON
Provider Address
300 HOSPITAL STREET
MOULTON, AL 35650
MOULTON, AL 35650
Provider Phone Number
2569741146
Provider SSA County
390
Provider County Name
Lawrence
Ownership Type
For profit - Partnership
Number of Certified Beds
136
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-MOULTON LLC
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.31136
Reported LPN Staffing Hours per Resident per Day
0.61500
Reported RN Staffing Hours per Resident per Day
0.80591
Reported Licensed Staffing Hours per Resident per Day
1.42091
Reported Total Nurse Staffing Hours per Resident per Day
3.73227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05136
Expected CNA Staffing Hours per Resident per Day
2.52038
Expected LPN Staffing Hours per Resident per Day
0.65605
Expected RN Staffing Hours per Resident per Day
0.97671
Expected Total Nurse Staffing Hours per Resident per Day
4.15314
Adjusted CNA Staffing Hours per Resident per Day
2.25021
Adjusted LPN Staffing Hours per Resident per Day
0.77807
Adjusted RN Staffing Hours per Resident per Day
0.61654
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62242
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
129
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
129
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-08
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
32
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
83.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
71500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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