Laurelbrook Sanitarium - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
440000000000000000000000000000
Provider Name
LAURELBROOK SANITARIUM
Provider Address
114 CAMPUS DRIVE
DAYTON, TN 37321
DAYTON, TN 37321
Provider Phone Number
(423) 775-0771
Provider SSA County
710
Provider County Name
Rhea
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-01-17
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.67083
Reported LPN Staffing Hours per Resident per Day
0.78646
Reported RN Staffing Hours per Resident per Day
0.68021
Reported Licensed Staffing Hours per Resident per Day
1.46667
Reported Total Nurse Staffing Hours per Resident per Day
6.13750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43569
Expected LPN Staffing Hours per Resident per Day
0.60344
Expected RN Staffing Hours per Resident per Day
0.82058
Expected Total Nurse Staffing Hours per Resident per Day
3.85971
Adjusted CNA Staffing Hours per Resident per Day
4.70537
Adjusted LPN Staffing Hours per Resident per Day
1.08173
Adjusted RN Staffing Hours per Resident per Day
0.61938
Adjusted Total Nurse Staffing Hours per Resident per Day
6.40972
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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