Cambridge House, The - Bristol Nursing Home
General Information
UPDATEFederal Provider Number
445190
Provider Name
CAMBRIDGE HOUSE, THE
Provider Address
250 BELLEBROOK RD
BRISTOL, TN 37620
BRISTOL, TN 37620
Provider Phone Number
(423) 968-4123
Provider SSA County
810
Provider County Name
Sullivan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HP CAMBRIDGE HOUSE INC
Date First Approved to Provide Medicare and Medicaid services
1986-10-02
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63696
Reported LPN Staffing Hours per Resident per Day
1.39891
Reported RN Staffing Hours per Resident per Day
0.40054
Reported Licensed Staffing Hours per Resident per Day
1.79946
Reported Total Nurse Staffing Hours per Resident per Day
4.43641
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02554
Expected CNA Staffing Hours per Resident per Day
2.57913
Expected LPN Staffing Hours per Resident per Day
0.56724
Expected RN Staffing Hours per Resident per Day
0.79800
Expected Total Nurse Staffing Hours per Resident per Day
3.94436
Adjusted CNA Staffing Hours per Resident per Day
2.50872
Adjusted LPN Staffing Hours per Resident per Day
2.04693
Adjusted RN Staffing Hours per Resident per Day
0.37504
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53374
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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