Provider Name: CROWNE HEALTH CARE OF FT PAYNE
Address: 403 13TH STREET NORTHWEST, FORT PAYNE, AL 35967
Phone: (256) 845-5990
County: De Kalb (240)
Ownership Type: For profit - Corporation
Certified Beds: 123
Average Residents Per Day: 103. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CROWNE HEALTH CARE OF FORT PAYNE, LLC
First Approved Date: January 1, 1977
Affiliated Entity: CROWNE HEALTH CARE (174)
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: 2 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.22531, LPN Staff Hours Per Day: 0.7264, RN Staff Hours Per Day: 0.7441, Licensed Staff Hours Per Day: 1.4706
Total Nurse Staff Hours Per Day, per resident: 3.69597
Weekend Nurse Staff Hours: 3.16747, Weekend RN Staff Hours: 0.4090
PT Staff Hours Per Day, per resident: 0.0141
Nurse Staff Turnover: 47.1, Nurse Turnover Note:
RN Turnover: 27.8, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1015, Case Mix LPN Hours Per Day: 0.6379, Case Mix RN Hours Per Day: 0.2964
Adjusted Nurse Aide Hours Per Day, per resident: 2.15720, Adjusted LPN Hours Per Day: 0.8403, Adjusted RN Hours Per Day: 0.9458
Total Adjusted Nurse Hours Per Day, per resident: 3.83724
Adjusted Weekend Nurse Hours Per Day, per resident: 3.28854
Health Survey Dates and Scores: Cycle 1: 2019-11-14 (Score: 8), Cycle 2: 2018-09-13 (Score: 0), Cycle 3: 2017-08-24 (Score: 16)
Total Weighted Health Score: 6.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 403 13TH STREET NORTHWEST,FORT PAYNE,AL,35967 (34.4549, -85.716)
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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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 2020-01-13
Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 2020-01-13
Type: Health, Deficiency: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-09-28
Type: Health, Deficiency: Store, cook, and serve food in a safe and clean way.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-09-28
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: 0232, Version: New
Description: Have corridors or aisles that are unobstructed and are at least 8 feet in width.
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 2019-12-13
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
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 2019-12-13
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-10-03
Type: Fire Safety, Tag: 0325, Version: New
Description: Have properly installed hallway dispensers for alcohol-based hand rub.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-10-03
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2017-10-03
Type: Fire Safety, Tag: 0711, Version: New
Description: Provide a written emergency evacuation plan.
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 2017-10-03
Type: Fire Safety, Tag: 0921, Version: New
Description: Ensure that testing and maintenance of electrical equipment is performed.
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 2017-10-03