Village At Cook Springs Skilled Nursing Facility - Pell City Nursing Home
General Information
UPDATEFederal Provider Number
15195
Provider Name
VILLAGE AT COOK SPRINGS SKILLED NURSING FACILITY
Provider Address
415 COOK SPRINGS
PELL CITY, AL 35125
PELL CITY, AL 35125
Provider Phone Number
(205) 338-2221
Provider SSA County
570
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
168
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE AT COOK SPRINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.46307
Reported LPN Staffing Hours per Resident per Day
1.36634
Reported RN Staffing Hours per Resident per Day
0.38856
Reported Licensed Staffing Hours per Resident per Day
1.75490
Reported Total Nurse Staffing Hours per Resident per Day
4.21797
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01307
Expected CNA Staffing Hours per Resident per Day
2.47993
Expected LPN Staffing Hours per Resident per Day
0.62131
Expected RN Staffing Hours per Resident per Day
0.91498
Expected Total Nurse Staffing Hours per Resident per Day
4.01622
Adjusted CNA Staffing Hours per Resident per Day
2.43702
Adjusted LPN Staffing Hours per Resident per Day
1.82528
Adjusted RN Staffing Hours per Resident per Day
0.31731
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23338
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
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
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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