Bridge At South Pittsburg, The - South Pittsburg Nursing Home
General Information
UPDATEFederal Provider Number
445343
Provider Name
BRIDGE AT SOUTH PITTSBURG, THE
Provider Address
201 EAST 10TH STREET
SOUTH PITTSBURG, TN 37380
SOUTH PITTSBURG, TN 37380
Provider Phone Number
(423) 837-7981
Provider SSA County
570
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP SOUTH PITTSBURG LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-01
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
1
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
2.19265
Reported LPN Staffing Hours per Resident per Day
0.87549
Reported RN Staffing Hours per Resident per Day
0.75098
Reported Licensed Staffing Hours per Resident per Day
1.62647
Reported Total Nurse Staffing Hours per Resident per Day
3.81912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04118
Expected CNA Staffing Hours per Resident per Day
2.54404
Expected LPN Staffing Hours per Resident per Day
0.58853
Expected RN Staffing Hours per Resident per Day
0.95927
Expected Total Nurse Staffing Hours per Resident per Day
4.09184
Adjusted CNA Staffing Hours per Resident per Day
2.11479
Adjusted LPN Staffing Hours per Resident per Day
1.23469
Adjusted RN Staffing Hours per Resident per Day
0.58496
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76224
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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