Blount Memorial Trans Care Ctr - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
445404
Provider Name
BLOUNT MEMORIAL TRANS CARE CTR
Provider Address
2320 EAST LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
MARYVILLE, TN 37804
Provider Phone Number
(865) 273-8311
Provider SSA County
40
Provider County Name
Blount
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
59
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
BLOUNT MEMORIAL HOSPITAL, INC
Date First Approved to Provide Medicare and Medicaid services
1997-10-03
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72288
Reported LPN Staffing Hours per Resident per Day
1.90847
Reported RN Staffing Hours per Resident per Day
1.52797
Reported Licensed Staffing Hours per Resident per Day
3.43644
Reported Total Nurse Staffing Hours per Resident per Day
6.15932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19407
Expected CNA Staffing Hours per Resident per Day
2.40451
Expected LPN Staffing Hours per Resident per Day
0.87018
Expected RN Staffing Hours per Resident per Day
1.82036
Expected Total Nurse Staffing Hours per Resident per Day
5.09506
Adjusted CNA Staffing Hours per Resident per Day
2.77858
Adjusted LPN Staffing Hours per Resident per Day
1.82034
Adjusted RN Staffing Hours per Resident per Day
0.62718
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87288
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
1574
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
1574
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
789.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
465465
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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