Crestview Health Care Center Of Brownsville, Inc - Brownsville Nursing Home
General Information
UPDATEFederal Provider Number
445442
Provider Name
CRESTVIEW HEALTH CARE CENTER OF BROWNSVILLE, INC
Provider Address
704 DUPREE ST
BROWNSVILLE, TN 38012
BROWNSVILLE, TN 38012
Provider Phone Number
7317723356
Provider SSA County
370
Provider County Name
Haywood
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTVIEW HEALTH CARE AND REHABILITATION INC
Date First Approved to Provide Medicare and Medicaid services
2002-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12880
Reported LPN Staffing Hours per Resident per Day
0.85707
Reported RN Staffing Hours per Resident per Day
0.70217
Reported Licensed Staffing Hours per Resident per Day
1.55924
Reported Total Nurse Staffing Hours per Resident per Day
3.68804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09728
Expected CNA Staffing Hours per Resident per Day
2.44742
Expected LPN Staffing Hours per Resident per Day
0.62530
Expected RN Staffing Hours per Resident per Day
1.00322
Expected Total Nurse Staffing Hours per Resident per Day
4.07593
Adjusted CNA Staffing Hours per Resident per Day
2.13427
Adjusted LPN Staffing Hours per Resident per Day
1.13764
Adjusted RN Staffing Hours per Resident per Day
0.52298
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64729
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-12-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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