Diversicare of Riverchase
2500 Riverhaven Drive, Birmingham, AL 35244


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.


Diversicare of Riverchase · 2500 Riverhaven Drive, Birmingham, AL 35244

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 or Manager · Diversicare of Riverchase

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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