Laurelwood Healthcare Center - Jackson Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
445413
Provider Name
LAURELWOOD HEALTHCARE CENTER
Provider Address
200 BIRCH ST
JACKSON, TN 38301
JACKSON, TN 38301
Provider Phone Number
(731) 422-5641
Provider SSA County
560
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
64
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LHC, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-04-01
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
2
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
2.12750
Reported LPN Staffing Hours per Resident per Day
0.79667
Reported RN Staffing Hours per Resident per Day
0.48667
Reported Licensed Staffing Hours per Resident per Day
1.28333
Reported Total Nurse Staffing Hours per Resident per Day
3.41084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00083
Expected CNA Staffing Hours per Resident per Day
2.31246
Expected LPN Staffing Hours per Resident per Day
0.58238
Expected RN Staffing Hours per Resident per Day
0.89626
Expected Total Nurse Staffing Hours per Resident per Day
3.79109
Adjusted CNA Staffing Hours per Resident per Day
2.25744
Adjusted LPN Staffing Hours per Resident per Day
1.13541
Adjusted RN Staffing Hours per Resident per Day
0.40573
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62659
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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