Church Hill Care & Rehab Ctr - Church Hill Nursing Home
General Information
UPDATEFederal Provider Number
445237
Provider Name
CHURCH HILL CARE & REHAB CTR
Provider Address
701 WEST MAIN BLVD
CHURCH HILL, TN 37642
CHURCH HILL, TN 37642
Provider Phone Number
(423) 357-7178
Provider SSA County
360
Provider County Name
Hawkins
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-09-23
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
3
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
2.00955
Reported LPN Staffing Hours per Resident per Day
0.95455
Reported RN Staffing Hours per Resident per Day
0.74136
Reported Licensed Staffing Hours per Resident per Day
1.69591
Reported Total Nurse Staffing Hours per Resident per Day
3.70546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04955
Expected CNA Staffing Hours per Resident per Day
2.64354
Expected LPN Staffing Hours per Resident per Day
0.68022
Expected RN Staffing Hours per Resident per Day
1.08642
Expected Total Nurse Staffing Hours per Resident per Day
4.41018
Adjusted CNA Staffing Hours per Resident per Day
1.86524
Adjusted LPN Staffing Hours per Resident per Day
1.16474
Adjusted RN Staffing Hours per Resident per Day
0.50988
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38679
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2014-01-08
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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