Hermitage Health Center - Elizabethton Nursing Home
General Information
UPDATEFederal Provider Number
445474
Provider Name
HERMITAGE HEALTH CENTER
Provider Address
1633 HILLVIEW DRIVE
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
Provider Phone Number
(423) 543-2571
Provider SSA County
90
Provider County Name
Carter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OCOEE HERMITAGE HEALTH CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2004-03-23
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.36953
Reported LPN Staffing Hours per Resident per Day
0.80703
Reported RN Staffing Hours per Resident per Day
0.71406
Reported Licensed Staffing Hours per Resident per Day
1.52109
Reported Total Nurse Staffing Hours per Resident per Day
3.89062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09141
Expected CNA Staffing Hours per Resident per Day
2.66977
Expected LPN Staffing Hours per Resident per Day
0.67055
Expected RN Staffing Hours per Resident per Day
1.06264
Expected Total Nurse Staffing Hours per Resident per Day
4.40296
Adjusted CNA Staffing Hours per Resident per Day
2.17776
Adjusted LPN Staffing Hours per Resident per Day
0.99893
Adjusted RN Staffing Hours per Resident per Day
0.50210
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56185
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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