Fort Sanders Sevier Nursing Home - Sevierville Nursing Home
General Information
UPDATEFederal Provider Number
445129
Provider Name
FORT SANDERS SEVIER NURSING HOME
Provider Address
731 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
Provider Phone Number
(865) 429-6694
Provider SSA County
770
Provider County Name
Sevier
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LECONTE MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1979-03-19
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12286
Reported LPN Staffing Hours per Resident per Day
1.27286
Reported RN Staffing Hours per Resident per Day
1.56857
Reported Licensed Staffing Hours per Resident per Day
2.84143
Reported Total Nurse Staffing Hours per Resident per Day
4.96429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01857
Expected CNA Staffing Hours per Resident per Day
2.30871
Expected LPN Staffing Hours per Resident per Day
0.67925
Expected RN Staffing Hours per Resident per Day
1.05160
Expected Total Nurse Staffing Hours per Resident per Day
4.03956
Adjusted CNA Staffing Hours per Resident per Day
2.25618
Adjusted LPN Staffing Hours per Resident per Day
1.55534
Adjusted RN Staffing Hours per Resident per Day
1.11453
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95364
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
519
Cycle 2 Standard Health Survey Date
2013-06-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
260
Cycle 2 Total Health Score
779
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
283.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
498355
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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