Fort Sanders Tcu - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445328
Provider Name
FORT SANDERS TCU
Provider Address
1901 CLINCH AVE
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
Provider Phone Number
(865) 541-1581
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
FORT SANDERS REGIONAL MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-05-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.84375
Reported LPN Staffing Hours per Resident per Day
0.98125
Reported RN Staffing Hours per Resident per Day
3.13750
Reported Licensed Staffing Hours per Resident per Day
4.11875
Reported Total Nurse Staffing Hours per Resident per Day
6.96250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19688
Expected CNA Staffing Hours per Resident per Day
2.22151
Expected LPN Staffing Hours per Resident per Day
0.66683
Expected RN Staffing Hours per Resident per Day
1.42172
Expected Total Nurse Staffing Hours per Resident per Day
4.31006
Adjusted CNA Staffing Hours per Resident per Day
3.14097
Adjusted LPN Staffing Hours per Resident per Day
1.22136
Adjusted RN Staffing Hours per Resident per Day
1.64894
Adjusted Total Nurse Staffing Hours per Resident per Day
6.51154
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-04
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
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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