Russellville Health Care Inc - Russellville Nursing Home
General Information
UPDATEFederal Provider Number
15071
Provider Name
RUSSELLVILLE HEALTH CARE INC
Provider Address
705 NORTHEAST GANDY STREET
RUSSELLVILLE, AL 35653
RUSSELLVILLE, AL 35653
Provider Phone Number
(256) 332-3773
Provider SSA County
290
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUSSELLVILLE HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-03-03
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.91633
Reported LPN Staffing Hours per Resident per Day
1.40510
Reported RN Staffing Hours per Resident per Day
0.50510
Reported Licensed Staffing Hours per Resident per Day
1.91020
Reported Total Nurse Staffing Hours per Resident per Day
4.82653
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01122
Expected CNA Staffing Hours per Resident per Day
2.53680
Expected LPN Staffing Hours per Resident per Day
0.63540
Expected RN Staffing Hours per Resident per Day
0.81955
Expected Total Nurse Staffing Hours per Resident per Day
3.99175
Adjusted CNA Staffing Hours per Resident per Day
2.82080
Adjusted LPN Staffing Hours per Resident per Day
1.83543
Adjusted RN Staffing Hours per Resident per Day
0.46051
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87387
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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