Tennessee Nursing Homes >> Crossville Nursing Homes >> Good Samaritan Society - Fairfield Glade

Good Samaritan Society - Fairfield Glade - Crossville Nursing Home

General Information

UPDATE
Federal Provider Number
445506
Provider Name
GOOD SAMARITAN SOCIETY - FAIRFIELD GLADE
Provider Address
100 SAMARITAN WAY
CROSSVILLE, TN 38558
Provider Phone Number
9314561576
Provider SSA County
170
Provider County Name
Cumberland
Ownership Type
Non profit - Church related
Number of Certified Beds
30
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid services
2011-10-28
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.66667
Reported LPN Staffing Hours per Resident per Day
1.41852
Reported RN Staffing Hours per Resident per Day
1.41667
Reported Licensed Staffing Hours per Resident per Day
2.83519
Reported Total Nurse Staffing Hours per Resident per Day
5.50186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16852
Expected CNA Staffing Hours per Resident per Day
2.47897
Expected LPN Staffing Hours per Resident per Day
0.62018
Expected RN Staffing Hours per Resident per Day
1.11196
Expected Total Nurse Staffing Hours per Resident per Day
4.21112
Adjusted CNA Staffing Hours per Resident per Day
2.63949
Adjusted LPN Staffing Hours per Resident per Day
1.89843
Adjusted RN Staffing Hours per Resident per Day
0.95195
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26641
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
32
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-30
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-10-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
4
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

Nursiong Homes Nearby

Wyndridge Health And Rehab Ctr

456 Wayne Avenue | CROSSVILLE TN 38555 | 8.3 miles away

Life Care Center Of Crossville

80 Justice St | CROSSVILLE TN 38555 | 9.9 miles away

Wharton Nursing Home

55 West Lake Road | PLEASANT HILL TN 38578 | 17.6 miles away

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