Warren Manor Health And Rehabilitation Center - Selma Nursing Home

General Information

UPDATE
Federal Provider Number
15119
Provider Name
WARREN MANOR HEALTH AND REHABILITATION CENTER
Provider Address
11 BELL ROAD
SELMA, AL 36701
Provider Phone Number
(334) 874-7425
Provider SSA County
230
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SELMA OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1973-03-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.11176
Reported LPN Staffing Hours per Resident per Day
0.90662
Reported RN Staffing Hours per Resident per Day
0.61875
Reported Licensed Staffing Hours per Resident per Day
1.52537
Reported Total Nurse Staffing Hours per Resident per Day
3.63713
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03640
Expected CNA Staffing Hours per Resident per Day
2.26663
Expected LPN Staffing Hours per Resident per Day
0.60842
Expected RN Staffing Hours per Resident per Day
0.98550
Expected Total Nurse Staffing Hours per Resident per Day
3.86055
Adjusted CNA Staffing Hours per Resident per Day
2.28605
Adjusted LPN Staffing Hours per Resident per Day
1.23680
Adjusted RN Staffing Hours per Resident per Day
0.46913
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79762
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
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
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
47.33300
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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