Northside Health Care - Gadsden Nursing Home
General Information
UPDATEFederal Provider Number
15223
Provider Name
NORTHSIDE HEALTH CARE
Provider Address
700 HUTCHINS AVENUE
GADSDEN, AL 35901
GADSDEN, AL 35901
Provider Phone Number
(256) 543-7101
Provider SSA County
270
Provider County Name
Etowah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE LEASING CORP.
Date First Approved to Provide Medicare and Medicaid services
1978-08-21
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11902
Reported LPN Staffing Hours per Resident per Day
1.13750
Reported RN Staffing Hours per Resident per Day
0.47989
Reported Licensed Staffing Hours per Resident per Day
1.61739
Reported Total Nurse Staffing Hours per Resident per Day
3.73641
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05815
Expected CNA Staffing Hours per Resident per Day
2.36072
Expected LPN Staffing Hours per Resident per Day
0.59151
Expected RN Staffing Hours per Resident per Day
0.92013
Expected Total Nurse Staffing Hours per Resident per Day
3.87235
Adjusted CNA Staffing Hours per Resident per Day
2.20248
Adjusted LPN Staffing Hours per Resident per Day
1.59614
Adjusted RN Staffing Hours per Resident per Day
0.38970
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88939
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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