Tennessee Nursing Homes >> Lawrenceburg Nursing Homes >> Countryside Healthcare And Rehabilitation

Countryside Healthcare And Rehabilitation - Lawrenceburg Nursing Home

General Information

UPDATE
Federal Provider Number
445280
Provider Name
COUNTRYSIDE HEALTHCARE AND REHABILITATION
Provider Address
3051 BUFFALO ROAD
LAWRENCEBURG, TN 38464
Provider Phone Number
(931) 762-7518
Provider SSA County
490
Provider County Name
Lawrence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAWRENCEBURG NH OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-18
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.79107
Reported LPN Staffing Hours per Resident per Day
0.14405
Reported RN Staffing Hours per Resident per Day
0.38036
Reported Licensed Staffing Hours per Resident per Day
0.52440
Reported Total Nurse Staffing Hours per Resident per Day
3.31548
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02619
Expected CNA Staffing Hours per Resident per Day
2.56802
Expected LPN Staffing Hours per Resident per Day
0.57094
Expected RN Staffing Hours per Resident per Day
0.82756
Expected Total Nurse Staffing Hours per Resident per Day
3.96652
Adjusted CNA Staffing Hours per Resident per Day
2.66682
Adjusted LPN Staffing Hours per Resident per Day
0.20941
Adjusted RN Staffing Hours per Resident per Day
0.34343
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36930
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-04-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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