Kindred Health And Rehabilitation-northhaven - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445297
Provider Name
KINDRED HEALTH AND REHABILITATION-NORTHHAVEN
Provider Address
3300 BROADWAY NE
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
Provider Phone Number
(865) 689-2052
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1992-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.87330
Reported LPN Staffing Hours per Resident per Day
0.66477
Reported RN Staffing Hours per Resident per Day
0.59375
Reported Licensed Staffing Hours per Resident per Day
1.25852
Reported Total Nurse Staffing Hours per Resident per Day
3.13182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05455
Expected CNA Staffing Hours per Resident per Day
2.43871
Expected LPN Staffing Hours per Resident per Day
0.57968
Expected RN Staffing Hours per Resident per Day
0.95886
Expected Total Nurse Staffing Hours per Resident per Day
3.97725
Adjusted CNA Staffing Hours per Resident per Day
1.88482
Adjusted LPN Staffing Hours per Resident per Day
0.95184
Adjusted RN Staffing Hours per Resident per Day
0.46269
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17407
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
115
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
115
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
2013-06-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2011-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
63.50000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
23010
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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