Senior Rehab & Recovery At Limestone Health Facili - Athens Nursing Home
General Information
UPDATEFederal Provider Number
15024
Provider Name
SENIOR REHAB & RECOVERY AT LIMESTONE HEALTH FACILI
Provider Address
1600 WEST HOBBS STREET
ATHENS, AL 35611
ATHENS, AL 35611
Provider Phone Number
(256) 232-3461
Provider SSA County
410
Provider County Name
Limestone
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORUM GREEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
3.56199
Reported LPN Staffing Hours per Resident per Day
0.87808
Reported RN Staffing Hours per Resident per Day
0.45925
Reported Licensed Staffing Hours per Resident per Day
1.33733
Reported Total Nurse Staffing Hours per Resident per Day
4.89932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01027
Expected CNA Staffing Hours per Resident per Day
2.58821
Expected LPN Staffing Hours per Resident per Day
0.63947
Expected RN Staffing Hours per Resident per Day
0.91437
Expected Total Nurse Staffing Hours per Resident per Day
4.14205
Adjusted CNA Staffing Hours per Resident per Day
3.37688
Adjusted LPN Staffing Hours per Resident per Day
1.13971
Adjusted RN Staffing Hours per Resident per Day
0.37529
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76785
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
12
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
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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