Washington County Nursing Home - Chatom Nursing Home
General Information
UPDATEFederal Provider Number
15123
Provider Name
WASHINGTON COUNTY NURSING HOME
Provider Address
14600 ST STEPHENS AVENUE
CHATOM, AL 36518
CHATOM, AL 36518
Provider Phone Number
(251) 847-6412
Provider SSA County
640
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
88
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
WASHINGTON COUNTY HOSPITAL ASSOCIATION, INC
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
3.06000
Reported LPN Staffing Hours per Resident per Day
1.29933
Reported RN Staffing Hours per Resident per Day
0.69333
Reported Licensed Staffing Hours per Resident per Day
1.99267
Reported Total Nurse Staffing Hours per Resident per Day
5.05266
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01133
Expected CNA Staffing Hours per Resident per Day
2.33263
Expected LPN Staffing Hours per Resident per Day
0.60688
Expected RN Staffing Hours per Resident per Day
0.81654
Expected Total Nurse Staffing Hours per Resident per Day
3.75606
Adjusted CNA Staffing Hours per Resident per Day
3.21882
Adjusted LPN Staffing Hours per Resident per Day
1.77702
Adjusted RN Staffing Hours per Resident per Day
0.63445
Adjusted Total Nurse Staffing Hours per Resident per Day
5.42238
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.66700
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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