Beverly Park Place Health And Rehab - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445131
Provider Name
BEVERLY PARK PLACE HEALTH AND REHAB
Provider Address
5321 BEVERLY PARK CIRCLE
KNOXVILLE, TN 37918
KNOXVILLE, TN 37918
Provider Phone Number
(865) 687-1321
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
271
Number of Residents in Certified Beds
243
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-03-21
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.14095
Reported LPN Staffing Hours per Resident per Day
0.70494
Reported RN Staffing Hours per Resident per Day
0.51831
Reported Licensed Staffing Hours per Resident per Day
1.22325
Reported Total Nurse Staffing Hours per Resident per Day
3.36420
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02757
Expected CNA Staffing Hours per Resident per Day
2.57542
Expected LPN Staffing Hours per Resident per Day
0.60969
Expected RN Staffing Hours per Resident per Day
0.93793
Expected Total Nurse Staffing Hours per Resident per Day
4.12304
Adjusted CNA Staffing Hours per Resident per Day
2.03976
Adjusted LPN Staffing Hours per Resident per Day
0.95967
Adjusted RN Staffing Hours per Resident per Day
0.41291
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28902
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-16
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
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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