Self Health Care & Rehab Center Inc - Hueytown Nursing Home
General Information
UPDATEFederal Provider Number
15212
Provider Name
SELF HEALTH CARE & REHAB CENTER INC
Provider Address
131 EAST CREST ROAD
HUEYTOWN, AL 35023
HUEYTOWN, AL 35023
Provider Phone Number
(205) 491-2411
Provider SSA County
360
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SELF HEALTH CARE AND REHAB CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.81467
Reported LPN Staffing Hours per Resident per Day
1.92935
Reported RN Staffing Hours per Resident per Day
0.49348
Reported Licensed Staffing Hours per Resident per Day
2.42283
Reported Total Nurse Staffing Hours per Resident per Day
5.23750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01957
Expected CNA Staffing Hours per Resident per Day
2.29536
Expected LPN Staffing Hours per Resident per Day
0.60111
Expected RN Staffing Hours per Resident per Day
0.86348
Expected Total Nurse Staffing Hours per Resident per Day
3.75995
Adjusted CNA Staffing Hours per Resident per Day
3.00884
Adjusted LPN Staffing Hours per Resident per Day
2.66400
Adjusted RN Staffing Hours per Resident per Day
0.42703
Adjusted Total Nurse Staffing Hours per Resident per Day
5.61493
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-04
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
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
26.66700
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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