Island Home Park Health And Rehab - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445476
Provider Name
ISLAND HOME PARK HEALTH AND REHAB
Provider Address
1758 HILLWOOD DRIVE
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
Provider Phone Number
(865) 573-9621
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLCREST HEALTHCARE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
2004-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.42321
Reported LPN Staffing Hours per Resident per Day
0.89762
Reported RN Staffing Hours per Resident per Day
0.67976
Reported Licensed Staffing Hours per Resident per Day
1.57738
Reported Total Nurse Staffing Hours per Resident per Day
4.00059
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03810
Expected CNA Staffing Hours per Resident per Day
2.66273
Expected LPN Staffing Hours per Resident per Day
0.67054
Expected RN Staffing Hours per Resident per Day
1.04839
Expected Total Nurse Staffing Hours per Resident per Day
4.38166
Adjusted CNA Staffing Hours per Resident per Day
2.23298
Adjusted LPN Staffing Hours per Resident per Day
1.11109
Adjusted RN Staffing Hours per Resident per Day
0.48447
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68033
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
215
Cycle 3 Standard Health Survey Date
2011-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
215
Total Weighted Health Survey Score
65.83300
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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