Agape Nursing And Rehabiliation Center, Llc - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
445162
Provider Name
AGAPE NURSING AND REHABILIATION CENTER, LLC
Provider Address
505 N ROAN STREET
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
Provider Phone Number
(423) 975-2000
Provider SSA County
890
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AGAPE NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1983-11-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.08019
Reported LPN Staffing Hours per Resident per Day
0.99151
Reported RN Staffing Hours per Resident per Day
0.68491
Reported Licensed Staffing Hours per Resident per Day
1.67642
Reported Total Nurse Staffing Hours per Resident per Day
3.75661
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02170
Expected CNA Staffing Hours per Resident per Day
2.66367
Expected LPN Staffing Hours per Resident per Day
0.69785
Expected RN Staffing Hours per Resident per Day
1.04025
Expected Total Nurse Staffing Hours per Resident per Day
4.40177
Adjusted CNA Staffing Hours per Resident per Day
1.91622
Adjusted LPN Staffing Hours per Resident per Day
1.17927
Adjusted RN Staffing Hours per Resident per Day
0.49196
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44009
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
48
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
84.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
Number of Fines
3
Total Amount of Fines in Dollars
293300
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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