Belcourt Terrace Nursing Home - Nashville Nursing Home
General Information
UPDATEFederal Provider Number
445273
Provider Name
BELCOURT TERRACE NURSING HOME
Provider Address
1710 BELCOURT AVENUE
NASHVILLE, TN 37212
NASHVILLE, TN 37212
Provider Phone Number
6153833570
Provider SSA County
180
Provider County Name
Davidson
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AHF/ CENTRAL STATES, INC
Date First Approved to Provide Medicare and Medicaid services
1991-10-16
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.18571
Reported LPN Staffing Hours per Resident per Day
0.32714
Reported RN Staffing Hours per Resident per Day
0.31000
Reported Licensed Staffing Hours per Resident per Day
0.63714
Reported Total Nurse Staffing Hours per Resident per Day
1.82285
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00143
Expected CNA Staffing Hours per Resident per Day
2.43500
Expected LPN Staffing Hours per Resident per Day
0.57167
Expected RN Staffing Hours per Resident per Day
0.91885
Expected Total Nurse Staffing Hours per Resident per Day
3.92553
Adjusted CNA Staffing Hours per Resident per Day
1.19482
Adjusted LPN Staffing Hours per Resident per Day
0.47497
Adjusted RN Staffing Hours per Resident per Day
0.25209
Adjusted Total Nurse Staffing Hours per Resident per Day
1.87178
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-10-11
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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