Douglas Nursing Home - Milan Nursing Home
General Information
UPDATEFederal Provider Number
445434
Provider Name
DOUGLAS NURSING HOME
Provider Address
2084 W MAIN ST
MILAN, TN 38358
MILAN, TN 38358
Provider Phone Number
7316868321
Provider SSA County
260
Provider County Name
Gibson
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNERSTONE HEALTH CARE OF DOUGLAS INC
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89831
Reported LPN Staffing Hours per Resident per Day
0.81271
Reported RN Staffing Hours per Resident per Day
0.46525
Reported Licensed Staffing Hours per Resident per Day
1.27797
Reported Total Nurse Staffing Hours per Resident per Day
3.17627
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03898
Expected CNA Staffing Hours per Resident per Day
2.32747
Expected LPN Staffing Hours per Resident per Day
0.62250
Expected RN Staffing Hours per Resident per Day
0.85265
Expected Total Nurse Staffing Hours per Resident per Day
3.80262
Adjusted CNA Staffing Hours per Resident per Day
2.00126
Adjusted LPN Staffing Hours per Resident per Day
1.08362
Adjusted RN Staffing Hours per Resident per Day
0.40771
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36695
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
40.00000
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
Nursiong Homes Nearby
Nhc Healthcare, Milan
8017 Dogwood Lane P O Box A |
MILAN TN 38358 | 0.5 mile away
Milan Health Care Center
8060 Stinson Road |
MILAN TN 38358 | 2 miles away
Trenton Center
2036 Highway 45 Bypass |
TRENTON TN 38382 | 9.7 miles away
Humboldt Healthcare Rehab Center, Inc
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HUMBOLDT TN 38343 | 10.1 miles away
W D Bill Manning Tennessee State Veterans Home
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HUMBOLDT TN 38343 | 10.4 miles away
Humboldt Nursing And Rehabilitation Center
3515 Chere Carol Rd |
HUMBOLDT TN 38343 | 10.4 miles away
Bailey Park Clc
2400 Mitchell Street |
HUMBOLDT TN 38343 | 10.4 miles away
Dyer Nursing And Rehabilitation Center
1124 North Main |
DYER TN 38330 | 17.6 miles away
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