Kindred Nursing And Rehabilitation-smith County - Carthage Nursing Home
General Information
UPDATEFederal Provider Number
445172
Provider Name
KINDRED NURSING AND REHABILITATION-SMITH COUNTY
Provider Address
112 HEALTH CARE DR
CARTHAGE, TN 37030
CARTHAGE, TN 37030
Provider Phone Number
6157350569
Provider SSA County
790
Provider County Name
Smith
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
76
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
1984-12-04
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
2
Health Inspection Rating Footnote
QM Rating
1
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
1.90132
Reported LPN Staffing Hours per Resident per Day
0.94934
Reported RN Staffing Hours per Resident per Day
0.56842
Reported Licensed Staffing Hours per Resident per Day
1.51776
Reported Total Nurse Staffing Hours per Resident per Day
3.41908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.43171
Expected LPN Staffing Hours per Resident per Day
0.65633
Expected RN Staffing Hours per Resident per Day
1.08148
Expected Total Nurse Staffing Hours per Resident per Day
4.16952
Adjusted CNA Staffing Hours per Resident per Day
1.91851
Adjusted LPN Staffing Hours per Resident per Day
1.20054
Adjusted RN Staffing Hours per Resident per Day
0.39272
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30541
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-03-12
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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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