Hartsville Convalescent Center - Hartsville Nursing Home
General Information
UPDATEFederal Provider Number
445256
Provider Name
HARTSVILLE CONVALESCENT CENTER
Provider Address
649 MCMURRY BLVD
HARTSVILLE, TN 37074
HARTSVILLE, TN 37074
Provider Phone Number
(615) 374-2167
Provider SSA County
840
Provider County Name
Trousdale
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARTSVILLE CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1990-08-20
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
2
Health Inspection Rating Footnote
QM Rating
3
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
1.81944
Reported LPN Staffing Hours per Resident per Day
1.11667
Reported RN Staffing Hours per Resident per Day
0.22685
Reported Licensed Staffing Hours per Resident per Day
1.34352
Reported Total Nurse Staffing Hours per Resident per Day
3.16296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00278
Expected CNA Staffing Hours per Resident per Day
2.23164
Expected LPN Staffing Hours per Resident per Day
0.56393
Expected RN Staffing Hours per Resident per Day
0.77918
Expected Total Nurse Staffing Hours per Resident per Day
3.57476
Adjusted CNA Staffing Hours per Resident per Day
2.00048
Adjusted LPN Staffing Hours per Resident per Day
1.64352
Adjusted RN Staffing Hours per Resident per Day
0.21754
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56655
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-06-20
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.66700
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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