Boulevard Terrace Rehabilitation And Nursing Home - Murfreesboro Nursing Home
General Information
UPDATEFederal Provider Number
445235
Provider Name
BOULEVARD TERRACE REHABILITATION AND NURSING HOME
Provider Address
1530 MIDDLE TENNESSEE BLVD
MURFREESBORO, TN 37130
MURFREESBORO, TN 37130
Provider Phone Number
(615) 896-4505
Provider SSA County
740
Provider County Name
Rutherford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOULEVARD TERRACE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.86781
Reported LPN Staffing Hours per Resident per Day
0.98630
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
1.48630
Reported Total Nurse Staffing Hours per Resident per Day
3.35411
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06849
Expected CNA Staffing Hours per Resident per Day
2.37133
Expected LPN Staffing Hours per Resident per Day
0.63949
Expected RN Staffing Hours per Resident per Day
0.95888
Expected Total Nurse Staffing Hours per Resident per Day
3.96970
Adjusted CNA Staffing Hours per Resident per Day
1.93269
Adjusted LPN Staffing Hours per Resident per Day
1.28014
Adjusted RN Staffing Hours per Resident per Day
0.38962
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40582
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-16
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
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-09-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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