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Detailed information-JACKSON HEALTH CARE FACILITY

This is the detailed information about JACKSON HEALTH CARE FACILITY, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 015188
Provider State: AL
Provider Zip Code: 36545
Overall Rating: 5
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 1
Provider Phone Number: 2512462476
Provider City: JACKSON
Provider SSA County Code: 120
Provider County Name: Clarke
Provider Address: 2616 NORTH COLLEGE AVENUE
Number of Certified Beds: 91
Number of Residents in Certified Beds: 78.2
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1977-09-01
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: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 4
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: 2.61451
Reported LPN Staffing Hours per Resident per Day: 1.26102
Reported RN Staffing Hours per Resident per Day: 0.65381
Reported Licensed Staffing Hours per Resident per Day: 1.91482
Reported Total Nurse Staffing Hours per Resident per Day: 4.52933
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.02294
Expected CNA Staffing Hours per Resident per Day: 2.21298
Expected LPN Staffing Hours per Resident per Day: 0.69600
Expected RN Staffing Hours per Resident per Day: 0.30852
Expected Total Nurse Staffing Hours per Resident per Day: 3.21750

Adjusted CNA Staffing Hours per Resident per Day: 2.46832
Adjusted LPN Staffing Hours per Resident per Day: 1.37490
Adjusted RN Staffing Hours per Resident per Day: 0.80616
Adjusted Total Nurse Staffing Hours per Resident per Day: 4.54484
Health Survey Date Under New Process: 12/14/2017
Number of Health Deficiencies on Survey Under New Process: 4
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: Few
Date of Previous Standard Health Inspection: 02/16/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 2
Rating Cycle 1 Standard Survey Health Date: 2017-02-16
Rating Cycle 1 Total Number of Health Deficiencies: 2
Rating Cycle 1 Number of Standard Health Deficiencies: 2
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 20
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 20

Rating Cycle 2 Standard Health Survey Date: 2016-02-04
Rating Cycle 2 Total Number of Health Deficiencies: 1
Rating Cycle 2 Number of Standard Health Deficiencies: 1
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 4
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 4
Total Weighted Health Survey Score: 13.600
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