South Haven Health And Rehabilitation Center - Montgomery Nursing Home
General Information
UPDATEFederal Provider Number
15043
Provider Name
SOUTH HAVEN HEALTH AND REHABILITATION CENTER
Provider Address
1300 EAST SOUTH BOULEVARD
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
Provider Phone Number
(334) 288-0122
Provider SSA County
500
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC MONTGOMERY SOUTH HAVEN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1975-07-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.64494
Reported LPN Staffing Hours per Resident per Day
0.85056
Reported RN Staffing Hours per Resident per Day
0.68652
Reported Licensed Staffing Hours per Resident per Day
1.53708
Reported Total Nurse Staffing Hours per Resident per Day
3.18202
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02191
Expected CNA Staffing Hours per Resident per Day
2.24413
Expected LPN Staffing Hours per Resident per Day
0.64484
Expected RN Staffing Hours per Resident per Day
1.03934
Expected Total Nurse Staffing Hours per Resident per Day
3.92831
Adjusted CNA Staffing Hours per Resident per Day
1.79855
Adjusted LPN Staffing Hours per Resident per Day
1.09479
Adjusted RN Staffing Hours per Resident per Day
0.49355
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26512
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2014-01-24
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
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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