Etowah Health Care Center - Etowah Nursing Home
General Information
UPDATEFederal Provider Number
445422
Provider Name
ETOWAH HEALTH CARE CENTER
Provider Address
409 GRADY ROAD, PO BOX 957
ETOWAH, TN 37331
ETOWAH, TN 37331
Provider Phone Number
(423) 263-1138
Provider SSA County
530
Provider County Name
Mc Minn
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHEASTERN HEALTH FACILITIES
Date First Approved to Provide Medicare and Medicaid services
2000-12-08
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.08267
Reported LPN Staffing Hours per Resident per Day
0.92079
Reported RN Staffing Hours per Resident per Day
0.47723
Reported Licensed Staffing Hours per Resident per Day
1.39802
Reported Total Nurse Staffing Hours per Resident per Day
3.48069
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00495
Expected CNA Staffing Hours per Resident per Day
2.55068
Expected LPN Staffing Hours per Resident per Day
0.67273
Expected RN Staffing Hours per Resident per Day
0.99865
Expected Total Nurse Staffing Hours per Resident per Day
4.22206
Adjusted CNA Staffing Hours per Resident per Day
2.00348
Adjusted LPN Staffing Hours per Resident per Day
1.13604
Adjusted RN Staffing Hours per Resident per Day
0.35707
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32310
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
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
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
32
Cycle 3 Standard Health Survey Date
2011-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3640
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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