Woodland Village Rehabilitation And Healthcare Cen - Cullman Nursing Home
General Information
UPDATEFederal Provider Number
15383
Provider Name
WOODLAND VILLAGE REHABILITATION AND HEALTHCARE CEN
Provider Address
1900 OLIVE STREET
CULLMAN, AL 35055
CULLMAN, AL 35055
Provider Phone Number
(256) 739-1430
Provider SSA County
210
Provider County Name
Cullman
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
149
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
USA HEALTHCARE WOODLAND VILLAGE LLC
Date First Approved to Provide Medicare and Medicaid services
1983-08-09
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.80500
Reported LPN Staffing Hours per Resident per Day
0.51607
Reported RN Staffing Hours per Resident per Day
0.81071
Reported Licensed Staffing Hours per Resident per Day
1.32679
Reported Total Nurse Staffing Hours per Resident per Day
4.13178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07179
Expected CNA Staffing Hours per Resident per Day
2.38066
Expected LPN Staffing Hours per Resident per Day
0.59649
Expected RN Staffing Hours per Resident per Day
0.98251
Expected Total Nurse Staffing Hours per Resident per Day
3.95967
Adjusted CNA Staffing Hours per Resident per Day
2.89105
Adjusted LPN Staffing Hours per Resident per Day
0.71810
Adjusted RN Staffing Hours per Resident per Day
0.61654
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20611
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
374
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
374
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
192.33300
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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