Shadescrest Health Care Center - Jasper Nursing Home

General Information

UPDATE
Federal Provider Number
15114
Provider Name
SHADESCREST HEALTH CARE CENTER
Provider Address
331 WEST 25TH STREET
JASPER, AL 35502
Provider Phone Number
(205) 384-9086
Provider SSA County
630
Provider County Name
Walker
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADESCREST HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1970-12-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.81250
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.64531
Reported Licensed Staffing Hours per Resident per Day
1.39531
Reported Total Nurse Staffing Hours per Resident per Day
3.20781
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02031
Expected CNA Staffing Hours per Resident per Day
2.54970
Expected LPN Staffing Hours per Resident per Day
0.61174
Expected RN Staffing Hours per Resident per Day
0.94651
Expected Total Nurse Staffing Hours per Resident per Day
4.10795
Adjusted CNA Staffing Hours per Resident per Day
1.74425
Adjusted LPN Staffing Hours per Resident per Day
1.01759
Adjusted RN Staffing Hours per Resident per Day
0.50943
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14764
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-04-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
189763
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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