Jefferson City Health And Rehab Center - Jefferson City Nursing Home

General Information

UPDATE
Federal Provider Number
445246
Provider Name
JEFFERSON CITY HEALTH AND REHAB CENTER
Provider Address
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Provider Phone Number
(865) 475-9037
Provider SSA County
440
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
170
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON OPERATOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-03-05
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.33356
Reported LPN Staffing Hours per Resident per Day
0.85342
Reported RN Staffing Hours per Resident per Day
0.55377
Reported Licensed Staffing Hours per Resident per Day
1.40719
Reported Total Nurse Staffing Hours per Resident per Day
3.74075
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04658
Expected CNA Staffing Hours per Resident per Day
2.50592
Expected LPN Staffing Hours per Resident per Day
0.70548
Expected RN Staffing Hours per Resident per Day
1.30915
Expected Total Nurse Staffing Hours per Resident per Day
4.52055
Adjusted CNA Staffing Hours per Resident per Day
2.28494
Adjusted LPN Staffing Hours per Resident per Day
1.00405
Adjusted RN Staffing Hours per Resident per Day
0.31607
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33557
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-28
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
2
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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