Westside Terrace Health & Rehabilitation Center - Dothan Nursing Home
General Information
UPDATEFederal Provider Number
15425
Provider Name
WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
Provider Address
501 NORTH WOODBURN DRIVE
DOTHAN, AL 36303
DOTHAN, AL 36303
Provider Phone Number
(334) 794-1000
Provider SSA County
340
Provider County Name
Houston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTSIDE TERRACE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-09-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.62994
Reported LPN Staffing Hours per Resident per Day
1.37166
Reported RN Staffing Hours per Resident per Day
0.49713
Reported Licensed Staffing Hours per Resident per Day
1.86879
Reported Total Nurse Staffing Hours per Resident per Day
5.49873
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11879
Expected CNA Staffing Hours per Resident per Day
2.46243
Expected LPN Staffing Hours per Resident per Day
0.61769
Expected RN Staffing Hours per Resident per Day
0.97351
Expected Total Nurse Staffing Hours per Resident per Day
4.05362
Adjusted CNA Staffing Hours per Resident per Day
3.61707
Adjusted LPN Staffing Hours per Resident per Day
1.84313
Adjusted RN Staffing Hours per Resident per Day
0.38156
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46790
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
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
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
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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