St Martin's In The Pines - Birmingham Nursing Home
General Information
UPDATEFederal Provider Number
15433
Provider Name
ST MARTIN'S IN THE PINES
Provider Address
4941 MONTEVALLO ROAD
BIRMINGHAM, AL 35210
BIRMINGHAM, AL 35210
Provider Phone Number
(205) 956-1831
Provider SSA County
360
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EPISCOPAL FOUNDATION OF JEFFERSON COUNTY
Date First Approved to Provide Medicare and Medicaid services
1997-07-09
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.82875
Reported LPN Staffing Hours per Resident per Day
1.33333
Reported RN Staffing Hours per Resident per Day
0.66833
Reported Licensed Staffing Hours per Resident per Day
2.00167
Reported Total Nurse Staffing Hours per Resident per Day
5.83041
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11083
Expected CNA Staffing Hours per Resident per Day
2.45457
Expected LPN Staffing Hours per Resident per Day
0.58532
Expected RN Staffing Hours per Resident per Day
0.91334
Expected Total Nurse Staffing Hours per Resident per Day
3.95323
Adjusted CNA Staffing Hours per Resident per Day
3.82739
Adjusted LPN Staffing Hours per Resident per Day
1.89071
Adjusted RN Staffing Hours per Resident per Day
0.54676
Adjusted Total Nurse Staffing Hours per Resident per Day
5.94496
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-11
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
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
24
Total Weighted Health Survey Score
36.00000
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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