Grace Healthcare Of Cordova - Cordova Nursing Home
General Information
UPDATEFederal Provider Number
445218
Provider Name
GRACE HEALTHCARE OF CORDOVA
Provider Address
955 GERMANTOWN PKWY
CORDOVA, TN 38018
CORDOVA, TN 38018
Provider Phone Number
(901) 754-1393
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
192
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORDOVA HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.78359
Reported LPN Staffing Hours per Resident per Day
1.07448
Reported RN Staffing Hours per Resident per Day
0.37786
Reported Licensed Staffing Hours per Resident per Day
1.45234
Reported Total Nurse Staffing Hours per Resident per Day
3.23593
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06615
Expected CNA Staffing Hours per Resident per Day
2.53256
Expected LPN Staffing Hours per Resident per Day
0.64719
Expected RN Staffing Hours per Resident per Day
1.05304
Expected Total Nurse Staffing Hours per Resident per Day
4.23279
Adjusted CNA Staffing Hours per Resident per Day
1.72805
Adjusted LPN Staffing Hours per Resident per Day
1.37799
Adjusted RN Staffing Hours per Resident per Day
0.26812
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08159
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2011-07-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3400
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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