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Detailed information-EVERGREEN NURSING HOME

This is the detailed information about EVERGREEN NURSING HOME, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 015089
Provider Name: EVERGREEN NURSING HOME
Provider State: AL
Provider Zip Code: 36401
Overall Rating: 5
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 0
Provider Phone Number: 2515783783
Provider City: EVERGREEN
Provider SSA County Code: 170
Provider County Name: Conecuh
Provider Address: 100 SANDERS DRIVE
Number of Certified Beds: 61
Number of Residents in Certified Beds: 59.1
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1967-10-17
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Both
Automatic Sprinkler Systems in All Required Areas: Yes
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: 4
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:

Reported CNA Staffing Hours per Resident per Day: 2.93346
Reported LPN Staffing Hours per Resident per Day: 1.28902
Reported RN Staffing Hours per Resident per Day: 0.47803
Reported Licensed Staffing Hours per Resident per Day: 1.76705
Reported Total Nurse Staffing Hours per Resident per Day: 4.70051
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.04093
Expected CNA Staffing Hours per Resident per Day: 2.31056
Expected LPN Staffing Hours per Resident per Day: 0.67555
Expected RN Staffing Hours per Resident per Day: 0.28274
Expected Total Nurse Staffing Hours per Resident per Day: 3.26885
Adjusted CNA Staffing Hours per Resident per Day: 2.65247
Adjusted LPN Staffing Hours per Resident per Day: 1.44798
Adjusted RN Staffing Hours per Resident per Day: 0.64317
Adjusted Total Nurse Staffing Hours per Resident per Day: 4.64250
Health Survey Date Under New Process: 02/01/2018
Number of Health Deficiencies on Survey Under New Process: 3
Severity of Most Severe Deficiency Cited Under New Process: Minimal Harm/Potential for Actual Harm
Largest Number of Residents Affected by Deficiency Cited Under New Process: Many
Date of Previous Standard Health Inspection: 12/01/2016
Number of Health Deficiencies on Previous Standard Health Inspection: 0
Rating Cycle 1 Standard Survey Health Date: 2016-12-01
Rating Cycle 1 Total Number of Health Deficiencies: 0
Rating Cycle 1 Number of Standard Health Deficiencies: 0
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 0
Rating Cycle 1 Number of Health Revisits: 0
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 0
Rating Cycle 2 Standard Health Survey Date: 2015-10-21
Rating Cycle 2 Total Number of Health Deficiencies: 0
Rating Cycle 2 Number of Standard Health Deficiencies: 0
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 0
Rating Cycle 2 Number of Health Revisits: 0
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 0
Total Weighted Health Survey Score: 0.000
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01