Grace Healthcare Of Whites Creek - Whites Creek Nursing Home
General Information
UPDATEFederal Provider Number
445281
Provider Name
GRACE HEALTHCARE OF WHITES CREEK
Provider Address
3425 KNIGHT DRIVE
WHITES CREEK, TN 37189
WHITES CREEK, TN 37189
Provider Phone Number
(615) 876-2754
Provider SSA County
180
Provider County Name
Davidson
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
127
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITES CREEK HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-04
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.04463
Reported LPN Staffing Hours per Resident per Day
0.80083
Reported RN Staffing Hours per Resident per Day
0.37438
Reported Licensed Staffing Hours per Resident per Day
1.17521
Reported Total Nurse Staffing Hours per Resident per Day
3.21984
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03884
Expected CNA Staffing Hours per Resident per Day
2.62670
Expected LPN Staffing Hours per Resident per Day
0.63107
Expected RN Staffing Hours per Resident per Day
0.96938
Expected Total Nurse Staffing Hours per Resident per Day
4.22715
Adjusted CNA Staffing Hours per Resident per Day
1.90997
Adjusted LPN Staffing Hours per Resident per Day
1.05328
Adjusted RN Staffing Hours per Resident per Day
0.28857
Adjusted Total Nurse Staffing Hours per Resident per Day
3.07036
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
8
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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