Kindred Nursing And Rehabilitation-maryville - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
445245
Provider Name
KINDRED NURSING AND REHABILITATION-MARYVILLE
Provider Address
1012 JAMESTOWN WAY
MARYVILLE, TN 37803
MARYVILLE, TN 37803
Provider Phone Number
(865) 984-7400
Provider SSA County
40
Provider County Name
Blount
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
187
Number of Residents in Certified Beds
151
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
1990-03-01
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
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
1.93709
Reported LPN Staffing Hours per Resident per Day
0.92715
Reported RN Staffing Hours per Resident per Day
0.58510
Reported Licensed Staffing Hours per Resident per Day
1.51225
Reported Total Nurse Staffing Hours per Resident per Day
3.44934
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09702
Expected CNA Staffing Hours per Resident per Day
2.39570
Expected LPN Staffing Hours per Resident per Day
0.59779
Expected RN Staffing Hours per Resident per Day
0.99742
Expected Total Nurse Staffing Hours per Resident per Day
3.99091
Adjusted CNA Staffing Hours per Resident per Day
1.98399
Adjusted LPN Staffing Hours per Resident per Day
1.28730
Adjusted RN Staffing Hours per Resident per Day
0.43832
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48390
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
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
395
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
395
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
144.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
543303
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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