Jefferson County Nursing Home - Dandridge Nursing Home
General Information
UPDATEFederal Provider Number
445473
Provider Name
JEFFERSON COUNTY NURSING HOME
Provider Address
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
DANDRIDGE, TN 37725
Provider Phone Number
8653973163
Provider SSA County
440
Provider County Name
Jefferson
Ownership Type
Government - City/county
Number of Certified Beds
160
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON COUNTY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2004-01-22
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98566
Reported LPN Staffing Hours per Resident per Day
1.27413
Reported RN Staffing Hours per Resident per Day
0.34755
Reported Licensed Staffing Hours per Resident per Day
1.62168
Reported Total Nurse Staffing Hours per Resident per Day
4.60734
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04930
Expected CNA Staffing Hours per Resident per Day
2.43866
Expected LPN Staffing Hours per Resident per Day
0.64216
Expected RN Staffing Hours per Resident per Day
1.02892
Expected Total Nurse Staffing Hours per Resident per Day
4.10973
Adjusted CNA Staffing Hours per Resident per Day
3.00407
Adjusted LPN Staffing Hours per Resident per Day
1.64684
Adjusted RN Staffing Hours per Resident per Day
0.25239
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51896
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
24
Cycle 2 Standard Health Survey Date
2013-07-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
28.66700
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
Nursiong Homes Nearby
Jefferson City Health And Rehab Center
283 W Broadway Blvd |
JEFFERSON CITY TN 37760 | 7.1 miles away
Life Care Center Of Jefferson City
336 West Old Andrew Johnson Hwy |
JEFFERSON CITY TN 37760 | 7.6 miles away
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