The Kings Daughters And Sons - Bartlett Nursing Home
General Information
UPDATEFederal Provider Number
445221
Provider Name
THE KINGS DAUGHTERS AND SONS
Provider Address
3568 APPLING ROAD
BARTLETT, TN 38133
BARTLETT, TN 38133
Provider Phone Number
9012727405
Provider SSA County
780
Provider County Name
Shelby
Ownership Type
Non profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE KING'S DAUGHTERS AND SONS HOME
Date First Approved to Provide Medicare and Medicaid services
1989-04-19
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.87594
Reported LPN Staffing Hours per Resident per Day
1.09764
Reported RN Staffing Hours per Resident per Day
0.42830
Reported Licensed Staffing Hours per Resident per Day
1.52594
Reported Total Nurse Staffing Hours per Resident per Day
4.40188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00660
Expected CNA Staffing Hours per Resident per Day
2.48333
Expected LPN Staffing Hours per Resident per Day
0.64365
Expected RN Staffing Hours per Resident per Day
1.01831
Expected Total Nurse Staffing Hours per Resident per Day
4.14530
Adjusted CNA Staffing Hours per Resident per Day
2.84162
Adjusted LPN Staffing Hours per Resident per Day
1.41542
Adjusted RN Staffing Hours per Resident per Day
0.31427
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28040
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
4
Cycle 2 Standard Health Survey Date
2013-06-05
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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