Ivy Hall Nursing Home - Elizabethton Nursing Home
General Information
UPDATEFederal Provider Number
445469
Provider Name
IVY HALL NURSING HOME
Provider Address
301 WATAUGA AVE
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
Provider Phone Number
4235426512
Provider SSA County
90
Provider County Name
Carter
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IVY HALL INC
Date First Approved to Provide Medicare and Medicaid services
2002-12-01
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.42174
Reported LPN Staffing Hours per Resident per Day
1.02826
Reported RN Staffing Hours per Resident per Day
0.52772
Reported Licensed Staffing Hours per Resident per Day
1.55598
Reported Total Nurse Staffing Hours per Resident per Day
3.97772
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05272
Expected CNA Staffing Hours per Resident per Day
2.44879
Expected LPN Staffing Hours per Resident per Day
0.63178
Expected RN Staffing Hours per Resident per Day
1.00915
Expected Total Nurse Staffing Hours per Resident per Day
4.08973
Adjusted CNA Staffing Hours per Resident per Day
2.42659
Adjusted LPN Staffing Hours per Resident per Day
1.35087
Adjusted RN Staffing Hours per Resident per Day
0.39074
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92051
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-13
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
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
2011-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
16.66700
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
Nursiong Homes Nearby
Pine Ridge Care & Rehabilitation Center
1200 Spruce Lane |
ELIZABETHTON TN 37643 | 0.9 mile away
Life Care Center Of Elizabethton
1641 Highway 19e |
ELIZABETHTON TN 37643 | 1.3 miles away
Hermitage Health Center
1633 Hillview Drive |
ELIZABETHTON TN 37643 | 1.3 miles away
Hillview Health Center
1666 Hillview Drive |
ELIZABETHTON TN 37643 | 1.3 miles away
Roan Highlands Nursing Center
146 Buck Creek Road |
ROAN MOUNTAIN TN 37687 | 15.2 miles away
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