Park Manor Health and Rehabilitation, LLC
2201 Mcfarland Boulevard, Northport, AL 35476


Park Manor Health and Rehabilitation, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015326. The address is 2201 Mcfarland Boulevard, Northport, AL 35476. The zip code is 35476. The phone number is 2053395300.


Park Manor Health and Rehabilitation, LLC · 2201 Mcfarland Boulevard, Northport, AL 35476

Federal Provider Number 015326
Provider Name PARK MANOR HEALTH AND REHABILITATION, LLC
Address 2201 MCFARLAND BOULEVARD
NORTHPORT, AL 35476
Phone Number 2053395300
SSA County Code 620
County Name Tuscaloosa
Ownership Type For profit - Corporation
Certified Beds 152
Certified Beds Residents 133
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PARK MANOR HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare Medicaid Services 10/01/1979
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.57444
Reported LPN Staffing Hours per Resident per Day 0.99962
Reported RN Staffing Hours per Resident per Day 0.52594
Reported Licensed Staffing Hours per Resident per Day 1.52556
Reported Total Nurse Staffing Hours per Resident per Day 4.1
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03797
Expected CNA Staffing Hours per Resident per Day 2.43218
Expected LPN Staffing Hours per Resident per Day 0.61307
Expected RN Staffing Hours per Resident per Day 0.92774
Expected Total Nurse Staffing Hours per Resident per Day 3.97298
Adjusted CNA Staffing Hours per Resident per Day 2.59722
Adjusted LPN Staffing Hours per Resident per Day 1.35334
Adjusted RN Staffing Hours per Resident per Day 0.42359
Adjusted Total Nurse Staffing Hours per Resident per Day 4.15977
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 06/01/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 28.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Park Manor 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
NHS OPERATIONS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/08/2002
PARK MANOR HEALTH REALTY, LLC (Organization) 5% OR GREATER SECURITY INTEREST since 01/01/2003
REGIONS BANK (Organization) 5% OR GREATER SECURITY INTEREST since 08/27/2012
WISE, JANET (Individual) MANAGING EMPLOYEE since 06/14/2016
WISE, JANET (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/14/2016

street_number: 2201
route: McFarland Boulevard (McFarland Blvd)
locality, political: Northport
admin_level_2, political: Tuscaloosa County
admin_level_1, political: Alabama (AL)
country, political: United States (US)
postal_code: 35476
types : street_address
latitude: 33.2395937
longitude: -87.5786688
latlng: (33.2395937, -87.5786688)


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