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Henderson Health And Rehabilitation Center - Henderson Nursing Home

General Information

UPDATE
Federal Provider Number
445471
Provider Name
HENDERSON HEALTH AND REHABILITATION CENTER
Provider Address
412 JUANITA DRIVE
HENDERSON, TN 38340
Provider Phone Number
7319897598
Provider SSA County
110
Provider County Name
Chester
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDERSON HEALTH AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.32222
Reported LPN Staffing Hours per Resident per Day
1.00694
Reported RN Staffing Hours per Resident per Day
0.52917
Reported Licensed Staffing Hours per Resident per Day
1.53611
Reported Total Nurse Staffing Hours per Resident per Day
3.85833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07917
Expected CNA Staffing Hours per Resident per Day
2.64546
Expected LPN Staffing Hours per Resident per Day
0.65131
Expected RN Staffing Hours per Resident per Day
1.05053
Expected Total Nurse Staffing Hours per Resident per Day
4.34730
Adjusted CNA Staffing Hours per Resident per Day
2.15389
Adjusted LPN Staffing Hours per Resident per Day
1.28320
Adjusted RN Staffing Hours per Resident per Day
0.37638
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57751
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-01
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
32.66700
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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