Kindred Nursing And Rehabilitation- Fairpark - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
445286
Provider Name
KINDRED NURSING AND REHABILITATION- FAIRPARK
Provider Address
307 N FIFTH ST BOX 5477
MARYVILLE, TN 37801
MARYVILLE, TN 37801
Provider Phone Number
(865) 983-0261
Provider SSA County
40
Provider County Name
Blount
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
75
Number of Residents in Certified Beds
65
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
1992-05-08
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94308
Reported LPN Staffing Hours per Resident per Day
0.63385
Reported RN Staffing Hours per Resident per Day
1.22538
Reported Licensed Staffing Hours per Resident per Day
1.85923
Reported Total Nurse Staffing Hours per Resident per Day
3.80231
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09154
Expected CNA Staffing Hours per Resident per Day
2.48538
Expected LPN Staffing Hours per Resident per Day
0.56510
Expected RN Staffing Hours per Resident per Day
0.86258
Expected Total Nurse Staffing Hours per Resident per Day
3.91306
Adjusted CNA Staffing Hours per Resident per Day
1.91831
Adjusted LPN Staffing Hours per Resident per Day
0.93098
Adjusted RN Staffing Hours per Resident per Day
1.06147
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91681
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
131
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
131
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
2011-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
49.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
311220
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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