Cumberland Village Genesis Healthcare - Lafollette Nursing Home

General Information

UPDATE
Federal Provider Number
445276
Provider Name
CUMBERLAND VILLAGE GENESIS HEALTHCARE
Provider Address
136 DAVIS LANE
LAFOLLETTE, TN 37766
Provider Phone Number
4235620760
Provider SSA County
60
Provider County Name
Campbell
Ownership Type
For profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE REGENCY - TENNESSEE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.02755
Reported LPN Staffing Hours per Resident per Day
0.78810
Reported RN Staffing Hours per Resident per Day
0.61667
Reported Licensed Staffing Hours per Resident per Day
1.40476
Reported Total Nurse Staffing Hours per Resident per Day
3.43232
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09626
Expected CNA Staffing Hours per Resident per Day
2.38259
Expected LPN Staffing Hours per Resident per Day
0.62173
Expected RN Staffing Hours per Resident per Day
1.00023
Expected Total Nurse Staffing Hours per Resident per Day
4.00456
Adjusted CNA Staffing Hours per Resident per Day
2.08806
Adjusted LPN Staffing Hours per Resident per Day
1.05210
Adjusted RN Staffing Hours per Resident per Day
0.46067
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45490
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-13
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
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
12
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

Nursiong Homes Nearby

Tennova Lafollette Health And Rehab Center

200 Torrey Road | LAFOLLETTE TN 37766 | 3.4 miles away

Summit View Of Rocky Top

204 Industrial Park Rd | ROCKY TOP TN 37769 | 9.8 miles away

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