Four Oaks Health Care Center - Jonesborough Nursing Home

General Information

UPDATE
Federal Provider Number
445458
Provider Name
FOUR OAKS HEALTH CARE CENTER
Provider Address
1101 PERSIMMON RIDGE RD
JONESBOROUGH, TN 37659
Provider Phone Number
4237538711
Provider SSA County
890
Provider County Name
Washington
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INTEGRITY HEALTHCARE OF JONESBOROUGH, LLC
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.09865
Reported LPN Staffing Hours per Resident per Day
0.95135
Reported RN Staffing Hours per Resident per Day
0.59797
Reported Licensed Staffing Hours per Resident per Day
1.54932
Reported Total Nurse Staffing Hours per Resident per Day
3.64797
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05338
Expected CNA Staffing Hours per Resident per Day
2.71968
Expected LPN Staffing Hours per Resident per Day
0.64068
Expected RN Staffing Hours per Resident per Day
1.00087
Expected Total Nurse Staffing Hours per Resident per Day
4.36123
Adjusted CNA Staffing Hours per Resident per Day
1.89341
Adjusted LPN Staffing Hours per Resident per Day
1.23246
Adjusted RN Staffing Hours per Resident per Day
0.44642
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37166
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
20
Cycle 1 Standard Survey Health Date
2014-07-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-10
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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