South Haven Health And Rehabilitation, Llc - Birmingham Nursing Home
General Information
UPDATEFederal Provider Number
15321
Provider Name
SOUTH HAVEN HEALTH AND REHABILITATION, LLC
Provider Address
3141 OLD COLUMBIANA ROAD
BIRMINGHAM, AL 35226
BIRMINGHAM, AL 35226
Provider Phone Number
2058221580
Provider SSA County
360
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH HAVEN HEALTH AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.43724
Reported LPN Staffing Hours per Resident per Day
1.02194
Reported RN Staffing Hours per Resident per Day
0.50510
Reported Licensed Staffing Hours per Resident per Day
1.52704
Reported Total Nurse Staffing Hours per Resident per Day
3.96428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05816
Expected CNA Staffing Hours per Resident per Day
2.79525
Expected LPN Staffing Hours per Resident per Day
0.62689
Expected RN Staffing Hours per Resident per Day
0.93659
Expected Total Nurse Staffing Hours per Resident per Day
4.35874
Adjusted CNA Staffing Hours per Resident per Day
2.13943
Adjusted LPN Staffing Hours per Resident per Day
1.35305
Adjusted RN Staffing Hours per Resident per Day
0.40296
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66611
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
36.00000
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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