Holston Health & Rehabilitation Center - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445344
Provider Name
HOLSTON HEALTH & REHABILITATION CENTER
Provider Address
3916 BOYDS BRIDGE PIKE
KNOXVILLE, TN 37914
KNOXVILLE, TN 37914
Provider Phone Number
(865) 524-1500
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-HOLSTON HILLS LLC
Date First Approved to Provide Medicare and Medicaid services
1995-02-22
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.12289
Reported LPN Staffing Hours per Resident per Day
1.04819
Reported RN Staffing Hours per Resident per Day
0.69217
Reported Licensed Staffing Hours per Resident per Day
1.74036
Reported Total Nurse Staffing Hours per Resident per Day
3.86325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21506
Expected CNA Staffing Hours per Resident per Day
2.51294
Expected LPN Staffing Hours per Resident per Day
0.67471
Expected RN Staffing Hours per Resident per Day
1.29790
Expected Total Nurse Staffing Hours per Resident per Day
4.48555
Adjusted CNA Staffing Hours per Resident per Day
2.07285
Adjusted LPN Staffing Hours per Resident per Day
1.28944
Adjusted RN Staffing Hours per Resident per Day
0.39848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47168
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
26.66700
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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