Signature Healthcare Of Erin - Erin Nursing Home
General Information
UPDATEFederal Provider Number
445377
Provider Name
SIGNATURE HEALTHCARE OF ERIN
Provider Address
278 ROCKY HOLLOW ROAD
ERIN, TN 37061
ERIN, TN 37061
Provider Phone Number
9312894141
Provider SSA County
410
Provider County Name
Houston
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP ERIN LLC
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.19708
Reported LPN Staffing Hours per Resident per Day
0.90657
Reported RN Staffing Hours per Resident per Day
0.75584
Reported Licensed Staffing Hours per Resident per Day
1.66241
Reported Total Nurse Staffing Hours per Resident per Day
3.85949
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10073
Expected CNA Staffing Hours per Resident per Day
2.46637
Expected LPN Staffing Hours per Resident per Day
0.65983
Expected RN Staffing Hours per Resident per Day
1.06802
Expected Total Nurse Staffing Hours per Resident per Day
4.19422
Adjusted CNA Staffing Hours per Resident per Day
2.18579
Adjusted LPN Staffing Hours per Resident per Day
1.14037
Adjusted RN Staffing Hours per Resident per Day
0.52880
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70920
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-01
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
8840
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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