Glen Haven Health and Rehabilitation, LLC
2201 32nd Street, Northport, AL 35476


Glen Haven Health and Rehabilitation, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015186. The address is 2201 32nd Street, Northport, AL 35476. The zip code is 35476. The phone number is 2053395700.


Glen Haven Health and Rehabilitation, LLC · 2201 32nd Street, Northport, AL 35476

Federal Provider Number 015186
Provider Name GLEN HAVEN HEALTH AND REHABILITATION, LLC
Address 2201 32ND STREET
NORTHPORT, AL 35476
Phone Number 2053395700
SSA County Code 620
County Name Tuscaloosa
Ownership Type For profit - Corporation
Certified Beds 200
Certified Beds Residents 173
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GLEN HAVEN HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare Medicaid Services 04/01/1977
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 3
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.73006
Reported LPN Staffing Hours per Resident per Day 1.0922
Reported RN Staffing Hours per Resident per Day 0.64682
Reported Licensed Staffing Hours per Resident per Day 1.73902
Reported Total Nurse Staffing Hours per Resident per Day 4.46908
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02572
Expected CNA Staffing Hours per Resident per Day 2.52177
Expected LPN Staffing Hours per Resident per Day 0.62952
Expected RN Staffing Hours per Resident per Day 0.98572
Expected Total Nurse Staffing Hours per Resident per Day 4.13701
Adjusted CNA Staffing Hours per Resident per Day 2.65637
Adjusted LPN Staffing Hours per Resident per Day 1.44002
Adjusted RN Staffing Hours per Resident per Day 0.4903
Adjusted Total Nurse Staffing Hours per Resident per Day 4.35445
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 11/10/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 12/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 11/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 25.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Glen Haven Health and Rehabilitation, LLC

Owner Name Role Association Date
BURCHFIELD, JOHN (Individual) DIRECTOR since 01/01/2012
BURCHFIELD, JOHN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
DUFFY, MARCIA (Individual) DIRECTOR since 12/12/2003
DUFFY, MARCIA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/12/2003
ESTES, JAMES (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
89%
since 11/08/2002
ESTES, JAMES (Individual) OFFICER since 11/08/2002
HELMS, ANITA (Individual) DIRECTOR since 07/26/2010
HELMS, ANITA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/26/2010
JAMES NORMAN ESTES JR TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 11/08/2002
JENNIFER LEE ESTES TR 031093 (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 11/08/2002
LEE, CLAUDE (Individual) OFFICER since 11/08/2002
MADISON, ADAM (Individual) MANAGING EMPLOYEE since 05/31/2012
MADISON, ADAM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/31/2012
MARTINS LTD (Organization) 5% OR GREATER SECURITY INTEREST since 01/01/2003
NHS OPERATIONS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/08/2002
NORTHPORT HEALTH SERVICES INC (Organization) 5% OR GREATER SECURITY INTEREST since 01/01/2003
REGIONS BANK (Organization) 5% OR GREATER SECURITY INTEREST since 08/29/2011

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