Asbury Place At Maryville - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
445017
Provider Name
ASBURY PLACE AT MARYVILLE
Provider Address
2648 SEVIERVILLE RD
MARYVILLE, TN 37804
MARYVILLE, TN 37804
Provider Phone Number
(865) 984-1660
Provider SSA County
40
Provider County Name
Blount
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
181
Number of Residents in Certified Beds
155
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASBURY, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05581
Reported LPN Staffing Hours per Resident per Day
1.23548
Reported RN Staffing Hours per Resident per Day
0.35484
Reported Licensed Staffing Hours per Resident per Day
1.59032
Reported Total Nurse Staffing Hours per Resident per Day
3.64613
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03839
Expected CNA Staffing Hours per Resident per Day
2.42061
Expected LPN Staffing Hours per Resident per Day
0.62643
Expected RN Staffing Hours per Resident per Day
1.04229
Expected Total Nurse Staffing Hours per Resident per Day
4.08933
Adjusted CNA Staffing Hours per Resident per Day
2.08391
Adjusted LPN Staffing Hours per Resident per Day
1.63697
Adjusted RN Staffing Hours per Resident per Day
0.25438
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59403
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2011-06-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
11675
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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