Wesley Manor Retirement Center - Dothan Nursing Home
General Information
UPDATEFederal Provider Number
15175
Provider Name
WESLEY MANOR RETIREMENT CENTER
Provider Address
718 HONEYSUCKLE ROAD
DOTHAN, AL 36305
DOTHAN, AL 36305
Provider Phone Number
(334) 792-0921
Provider SSA County
340
Provider County Name
Houston
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
METHODIST HOME FOR THE AGING
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.72372
Reported LPN Staffing Hours per Resident per Day
1.07051
Reported RN Staffing Hours per Resident per Day
0.47340
Reported Licensed Staffing Hours per Resident per Day
1.54391
Reported Total Nurse Staffing Hours per Resident per Day
4.26763
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01699
Expected CNA Staffing Hours per Resident per Day
2.21414
Expected LPN Staffing Hours per Resident per Day
0.56339
Expected RN Staffing Hours per Resident per Day
0.80865
Expected Total Nurse Staffing Hours per Resident per Day
3.58618
Adjusted CNA Staffing Hours per Resident per Day
3.01841
Adjusted LPN Staffing Hours per Resident per Day
1.57710
Adjusted RN Staffing Hours per Resident per Day
0.43743
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79686
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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