Christian Care Center Of Johnson City, Inc - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
445487
Provider Name
CHRISTIAN CARE CENTER OF JOHNSON CITY, INC
Provider Address
140 TECHNOLOGY LANE
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
Provider Phone Number
(423) 434-2016
Provider SSA County
890
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN CARE CENTER OF JOHNSON CITY, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-11-20
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.14044
Reported LPN Staffing Hours per Resident per Day
0.93750
Reported RN Staffing Hours per Resident per Day
0.48382
Reported Licensed Staffing Hours per Resident per Day
1.42132
Reported Total Nurse Staffing Hours per Resident per Day
3.56176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04118
Expected CNA Staffing Hours per Resident per Day
2.64326
Expected LPN Staffing Hours per Resident per Day
0.71849
Expected RN Staffing Hours per Resident per Day
1.12624
Expected Total Nurse Staffing Hours per Resident per Day
4.48799
Adjusted CNA Staffing Hours per Resident per Day
1.98694
Adjusted LPN Staffing Hours per Resident per Day
1.08300
Adjusted RN Staffing Hours per Resident per Day
0.32099
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19901
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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