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FOREST MANOR HEALTH AND REHAB

Overall Rating

Address

2215 32nd Street

Northport, AL 35476

Contact

2053395400

Certification Date

1976-08-01

Details

CMS Certification Number

015143

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

182

Average Number of Residents per Day

174.9

Provider Type

Medicare and Medicaid

Legal Business Name

2215 NORTHPORT OPCO LLC

Affiliated Entity Name

USA HEALTHCARE - ALABAMA

Affiliated Entity ID

539

Ratings

Health Inspection Rating

2

Quality Measure Rating

3

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.99961

Reported LPN Staffing Hours per Resident per Day

0.79112

Reported RN Staffing Hours per Resident per Day

0.50643

Reported Total Nurse Staffing Hours per Resident per Day

3.29716

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.90469

Registered Nurse Hours per Resident per Day on the Weekend

0.41513

Reported Physical Therapist Staffing Hours per Resident Per Day

0.04463

Quality Measures

Long-Stay Quality Measure Rating

1

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

28.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

1

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-05-13

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

1

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2019-04-11

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

1

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 3

Standard Health Survey Date

2018-08-23

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

3

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Penalties

Number of Fines

7

Total Amount of Fines in Dollars

13890.11

Number of Payment Denials

1

Total Number of Penalties

8