Provider Name: CLEBURNE COUNTY NURSING HOME
Address: 122 BROCKFORD ROAD, HEFLIN, AL 36264
Phone: (256) 463-2121
County: Cleburne (140)
Ownership Type: Government - County
Certified Beds: 82
Average Residents Per Day: 70.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CLEBURNE COUNTY HOSPITAL BOARD, INC
First Approved Date: January 20, 1967
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.12126, LPN Staff Hours Per Day: 1.1505, RN Staff Hours Per Day: 0.4286, Licensed Staff Hours Per Day: 1.5792
Total Nurse Staff Hours Per Day, per resident: 3.70049
Weekend Nurse Staff Hours: 2.97306, Weekend RN Staff Hours: 0.2114
PT Staff Hours Per Day, per resident: 0.0063
Nurse Staff Turnover: 98.7, Nurse Turnover Note:
RN Turnover: 87.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9227, Case Mix LPN Hours Per Day: 0.6116, Case Mix RN Hours Per Day: 0.2828
Adjusted Nurse Aide Hours Per Day, per resident: 2.24760, Adjusted LPN Hours Per Day: 1.3882, Adjusted RN Hours Per Day: 0.5710
Total Adjusted Nurse Hours Per Day, per resident: 4.14031
Adjusted Weekend Nurse Hours Per Day, per resident: 3.32642
Health Survey Dates and Scores: Cycle 1: 2022-03-11 (Score: 4), Cycle 2: 2019-07-10 (Score: 4), Cycle 3: 2018-06-14 (Score: 0)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 122 BROCKFORD ROAD,HEFLIN,AL,36264 (33.6363, -85.588)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-31
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-15
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-01
Type: Fire Safety, Tag: 0761, Version: New
Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-01