Donelson Place Care & Rehabilitation Center - Nashville Nursing Home
General Information
UPDATEFederal Provider Number
445148
Provider Name
DONELSON PLACE CARE & REHABILITATION CENTER
Provider Address
2733 MCCAMPBELL AVENUE
NASHVILLE, TN 37214
NASHVILLE, TN 37214
Provider Phone Number
6158850483
Provider SSA County
180
Provider County Name
Davidson
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP NASHVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-07-26
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
4
QM Rating Footnote
Staffing Rating
2
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
1.73354
Reported LPN Staffing Hours per Resident per Day
1.03797
Reported RN Staffing Hours per Resident per Day
0.80000
Reported Licensed Staffing Hours per Resident per Day
1.83797
Reported Total Nurse Staffing Hours per Resident per Day
3.57151
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14114
Expected CNA Staffing Hours per Resident per Day
2.61525
Expected LPN Staffing Hours per Resident per Day
0.67441
Expected RN Staffing Hours per Resident per Day
1.17005
Expected Total Nurse Staffing Hours per Resident per Day
4.45971
Adjusted CNA Staffing Hours per Resident per Day
1.62646
Adjusted LPN Staffing Hours per Resident per Day
1.27744
Adjusted RN Staffing Hours per Resident per Day
0.51088
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22810
Cycle 1 Total Number of Health Deficiencies
46
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
2211
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
2211
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-05
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
1130.83000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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