Greystone Health Care Center - Blountville Nursing Home
General Information
UPDATEFederal Provider Number
445242
Provider Name
GREYSTONE HEALTH CARE CENTER
Provider Address
181 DUNLAP ROAD
BLOUNTVILLE, TN 37617
BLOUNTVILLE, TN 37617
Provider Phone Number
(423) 323-7112
Provider SSA County
810
Provider County Name
Sullivan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOUNTS OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-14
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.49031
Reported LPN Staffing Hours per Resident per Day
0.82016
Reported RN Staffing Hours per Resident per Day
0.70426
Reported Licensed Staffing Hours per Resident per Day
1.52442
Reported Total Nurse Staffing Hours per Resident per Day
4.01473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09690
Expected CNA Staffing Hours per Resident per Day
2.45671
Expected LPN Staffing Hours per Resident per Day
0.74964
Expected RN Staffing Hours per Resident per Day
1.34550
Expected Total Nurse Staffing Hours per Resident per Day
4.55184
Adjusted CNA Staffing Hours per Resident per Day
2.48726
Adjusted LPN Staffing Hours per Resident per Day
0.90808
Adjusted RN Staffing Hours per Resident per Day
0.39110
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55526
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
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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