East Tennessee Health Care - Madisonville Nursing Home

General Information

UPDATE
Federal Provider Number
445457
Provider Name
EAST TENNESSEE HEALTH CARE
Provider Address
465 ISBILL RD
MADISONVILLE, TN 37354
Provider Phone Number
(423) 442-3990
Provider SSA County
610
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAST TENNESSEE HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
2002-07-01
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99608
Reported LPN Staffing Hours per Resident per Day
1.04314
Reported RN Staffing Hours per Resident per Day
0.91275
Reported Licensed Staffing Hours per Resident per Day
1.95588
Reported Total Nurse Staffing Hours per Resident per Day
3.95197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01275
Expected CNA Staffing Hours per Resident per Day
2.47621
Expected LPN Staffing Hours per Resident per Day
0.65914
Expected RN Staffing Hours per Resident per Day
1.01865
Expected Total Nurse Staffing Hours per Resident per Day
4.15401
Adjusted CNA Staffing Hours per Resident per Day
1.97793
Adjusted LPN Staffing Hours per Resident per Day
1.31353
Adjusted RN Staffing Hours per Resident per Day
0.66952
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83485
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
8
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
826
Cycle 3 Standard Health Survey Date
2012-02-21
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
413
Cycle 3 Total Health Score
1239
Total Weighted Health Survey Score
238.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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