Claiborne County Nursing Home - Tazewell Nursing Home
General Information
UPDATEFederal Provider Number
445071
Provider Name
CLAIBORNE COUNTY NURSING HOME
Provider Address
1850 OLD KNOXVILLE ROAD
TAZEWELL, TN 37879
TAZEWELL, TN 37879
Provider Phone Number
(423) 626-4211
Provider SSA County
120
Provider County Name
Claiborne
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CLAIBORNE MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1968-12-22
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
4
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
2.43696
Reported LPN Staffing Hours per Resident per Day
1.20870
Reported RN Staffing Hours per Resident per Day
0.58768
Reported Licensed Staffing Hours per Resident per Day
1.79638
Reported Total Nurse Staffing Hours per Resident per Day
4.23334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07754
Expected CNA Staffing Hours per Resident per Day
2.54556
Expected LPN Staffing Hours per Resident per Day
0.65723
Expected RN Staffing Hours per Resident per Day
0.91934
Expected Total Nurse Staffing Hours per Resident per Day
4.12213
Adjusted CNA Staffing Hours per Resident per Day
2.34902
Adjusted LPN Staffing Hours per Resident per Day
1.52644
Adjusted RN Staffing Hours per Resident per Day
0.47764
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13965
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
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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