Adamsville Healthcare And Rehabilitation Center - Adamsville Nursing Home
General Information
UPDATEFederal Provider Number
445397
Provider Name
ADAMSVILLE HEALTHCARE AND REHABILITATION CENTER
Provider Address
409 PARK AVENUE
ADAMSVILLE, TN 38310
ADAMSVILLE, TN 38310
Provider Phone Number
7316323301
Provider SSA County
540
Provider County Name
Mc Nairy
Ownership Type
For profit - Individual
Number of Certified Beds
125
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMSVILLE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1997-06-16
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13981
Reported LPN Staffing Hours per Resident per Day
1.16311
Reported RN Staffing Hours per Resident per Day
0.42136
Reported Licensed Staffing Hours per Resident per Day
1.58447
Reported Total Nurse Staffing Hours per Resident per Day
3.72428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02427
Expected CNA Staffing Hours per Resident per Day
2.46304
Expected LPN Staffing Hours per Resident per Day
0.61965
Expected RN Staffing Hours per Resident per Day
0.89151
Expected Total Nurse Staffing Hours per Resident per Day
3.97421
Adjusted CNA Staffing Hours per Resident per Day
2.13169
Adjusted LPN Staffing Hours per Resident per Day
1.55794
Adjusted RN Staffing Hours per Resident per Day
0.35315
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77741
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-22
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
14.00000
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
Nursiong Homes Nearby
Mcnairy County Health Care Center
835 East Poplar Avenue |
SELMER TN 38375 | 11.7 miles away
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