Dyersburg Nursing And Rehabilitation, Inc - Dyersburg Nursing Home
General Information
UPDATEFederal Provider Number
445446
Provider Name
DYERSBURG NURSING AND REHABILITATION, INC
Provider Address
1900 PARR AVENUE
DYERSBURG, TN 38024
DYERSBURG, TN 38024
Provider Phone Number
(731) 286-1221
Provider SSA County
220
Provider County Name
Dyer
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DYERSBURG NURSING AND REHABILITATION INC
Date First Approved to Provide Medicare and Medicaid services
2002-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.43108
Reported LPN Staffing Hours per Resident per Day
1.02748
Reported RN Staffing Hours per Resident per Day
0.62748
Reported Licensed Staffing Hours per Resident per Day
1.65495
Reported Total Nurse Staffing Hours per Resident per Day
4.08604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06441
Expected CNA Staffing Hours per Resident per Day
2.58250
Expected LPN Staffing Hours per Resident per Day
0.67433
Expected RN Staffing Hours per Resident per Day
1.09422
Expected Total Nurse Staffing Hours per Resident per Day
4.35104
Adjusted CNA Staffing Hours per Resident per Day
2.30984
Adjusted LPN Staffing Hours per Resident per Day
1.26467
Adjusted RN Staffing Hours per Resident per Day
0.42848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78539
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-02-26
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
2011-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
1
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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