Terrace Manor Nursing & Rehabilitation Center, Inc
390 Underwood Road, Russellville, AL 35653


Terrace Manor Nursing & Rehabilitation Center, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015066. The address is 390 Underwood Road, Russellville, AL 35653. The zip code is 35653. The phone number is 2563323826.


Terrace Manor Nursing & Rehabilitation Center, Inc · 390 Underwood Road, Russellville, AL 35653

Federal Provider Number 015066
Provider Name TERRACE MANOR NURSING & REHABILITATION CENTER, INC
Address 390 UNDERWOOD ROAD
RUSSELLVILLE, AL 35653
Phone Number 2563323826
SSA County Code 290
County Name Franklin
Ownership Type For profit - Corporation
Certified Beds 63
Certified Beds Residents 56
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FRANKLIN LTC, LLC
Date First Approved to Provide Medicare Medicaid Services 08/01/1976
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.02589
Reported LPN Staffing Hours per Resident per Day 0.65179
Reported RN Staffing Hours per Resident per Day 0.93929
Reported Licensed Staffing Hours per Resident per Day 1.59107
Reported Total Nurse Staffing Hours per Resident per Day 3.61697
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09821
Expected CNA Staffing Hours per Resident per Day 2.45845
Expected LPN Staffing Hours per Resident per Day 0.61682
Expected RN Staffing Hours per Resident per Day 0.93816
Expected Total Nurse Staffing Hours per Resident per Day 4.01343
Adjusted CNA Staffing Hours per Resident per Day 2.02197
Adjusted LPN Staffing Hours per Resident per Day 0.87706
Adjusted RN Staffing Hours per Resident per Day 0.7481
Adjusted Total Nurse Staffing Hours per Resident per Day 3.63271
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 05/25/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 05/26/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 04/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 12
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Terrace Manor Nursing & Rehabilitation Center, Inc

Owner Name Role Association Date
CAIN, BRIAN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 01/01/2016
CUNNINGHAM, JOANN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
since 01/01/2016
CUNNINGHAM, MICHAEL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
since 01/01/2016
DT INVESTMENTS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 01/01/2016
DT INVESTMENTS LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2015
FEMBROOKE HEALTH CARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 01/01/2016
GRIFFIN, TROY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 01/01/2016
GRIFFIN, TROY (Individual) MANAGING EMPLOYEE since 01/01/2016
GRIFFIN, TROY (Individual) OFFICER since 01/01/2016
GRIFFIN, TROY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2016
HUBBARD, BRIEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 01/01/2016
HUBBARD, GENE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
since 01/01/2016
HUBBARD, GENE (Individual) MANAGING EMPLOYEE since 01/01/2016
HUBBARD, GENE (Individual) OFFICER since 01/01/2016
HUBBARD, GENE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2016
PROVIDENCE HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 01/01/2016
PROVIDENCE HOLDINGS LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2015

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