Diversicare of Riverchase is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015145. The address is 2500 Riverhaven Drive, Birmingham, AL 35244. The zip code is 35244. The phone number is 2059870901.
| Federal Provider Number | 015145 |
| Provider Name | DIVERSICARE OF RIVERCHASE |
| Address | 2500 RIVERHAVEN DRIVE BIRMINGHAM, AL 35244 |
| Phone Number | 2059870901 |
| SSA County Code | 360 |
| County Name | Jefferson |
| Ownership Type | For profit - Corporation |
| Certified Beds | 132 |
| Certified Beds Residents | 120 |
| Provider Type | Medicare and Medicaid |
| Resides in Hospital | false |
| Legal Business Name | DIVERSICARE OF RIVERCHASE LLC |
| Date First Approved to Provide Medicare Medicaid Services | 12/01/1979 |
| Continuing Care Retirement Community | false |
| Special Focus Facility | false |
| Most Recent Health Inspection More Than 2 Years Ago | false |
| Changed Ownership Last 12 Months | true |
| With Resident Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| Quality Measure Rating | 3 |
| Staffing Rating | 4 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.26292 |
| Reported LPN Staffing Hours per Resident per Day | 0.76958 |
| Reported RN Staffing Hours per Resident per Day | 0.70125 |
| Reported Licensed Staffing Hours per Resident per Day | 1.47083 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.73375 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04958 |
| Expected CNA Staffing Hours per Resident per Day | 2.44345 |
| Expected LPN Staffing Hours per Resident per Day | 0.60414 |
| Expected RN Staffing Hours per Resident per Day | 0.92594 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.97353 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.27241 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.05729 |
| Adjusted RN Staffing Hours per Resident per Day | 0.56588 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.78766 |
| Cycle 1 Total Number of Health Deficiencies | 3 |
| Cycle 1 Number of Standard Health Deficiencies | 3 |
| Cycle 1 Health Deficiency Score | 8 |
| Cycle 1 Standard Survey Health Date | 11/02/2016 |
| Cycle 1 Number of Health Revisits | 1 |
| Cycle 1 Total Health Score | 8 |
| 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 | 12/31/2015 |
| Cycle 2 Number of Health Revisits | 1 |
| Cycle 2 Total Health Score | 8 |
| Cycle 3 Total Number of Health Deficiencies | 4 |
| Cycle 3 Number of Standard Health Deficiencies | 3 |
| Cycle 3 Number of Complaint Health Deficiencies | 1 |
| Cycle 3 Health Deficiency Score | 16 |
| Cycle 3 Standard Health Survey Date | 10/02/2014 |
| Cycle 3 Number of Health Revisits | 1 |
| Cycle 3 Total Health Score | 16 |
| Total Weighted Health Survey Score | 9.333 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $3900.00 |
| Total Number of Penalties | 1 |
| Processing Date | 08/01/2017 |
| Owner Name | Role | Association Date |
|---|---|---|
| ADVOCAT FINANCE, INC. (Organization) |
5% OR GREATER INDIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 07/01/2016 |
| CAMPBELL, LESLIE (Individual) | OFFICER | since 07/01/2016 |
| DIVERSICARE HEALTHCARE SERVICES INC (Organization) |
5% OR GREATER INDIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 07/01/2016 |
| DIVERSICARE LEASING COMPANY III LLC (Organization) |
5% OR GREATER DIRECT OWNERSHIP INTEREST 100% |
since 07/01/2016 |
| DIVERSICARE MANAGEMENT SERVICES CO. (Organization) |
5% OR GREATER INDIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 07/01/2016 |
| DIVERSICARE MANAGEMENT SERVICES CO. (Organization) | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2016 |
| EPHRAIM, MARIA (Individual) | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2016 |
| GILL, KELLY (Individual) | DIRECTOR | since 07/01/2016 |
| GILL, KELLY (Individual) | OFFICER | since 07/01/2016 |
| MCKNIGHT, JAMES (Individual) | OFFICER | since 07/01/2016 |
| OLSON, WALLACE (Individual) | DIRECTOR | since 07/01/2016 |
| OLSON, WALLACE (Individual) | OFFICER | since 07/01/2016 |
| WEISHAAR, MATTHEW (Individual) | OFFICER | since 07/01/2016 |
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