Ardmore Health And Rehabilitation Center - Ardmore Nursing Home
General Information
UPDATEFederal Provider Number
445321
Provider Name
ARDMORE HEALTH AND REHABILITATION CENTER
Provider Address
25385 MAIN STREET
ARDMORE, TN 38449
ARDMORE, TN 38449
Provider Phone Number
(931) 427-2143
Provider SSA County
270
Provider County Name
Giles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARDMORE HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.62778
Reported LPN Staffing Hours per Resident per Day
0.86746
Reported RN Staffing Hours per Resident per Day
0.60317
Reported Licensed Staffing Hours per Resident per Day
1.47063
Reported Total Nurse Staffing Hours per Resident per Day
3.09841
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.68759
Expected LPN Staffing Hours per Resident per Day
0.68295
Expected RN Staffing Hours per Resident per Day
0.97811
Expected Total Nurse Staffing Hours per Resident per Day
4.34865
Adjusted CNA Staffing Hours per Resident per Day
1.48612
Adjusted LPN Staffing Hours per Resident per Day
1.05425
Adjusted RN Staffing Hours per Resident per Day
0.46078
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87202
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
17.33300
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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