Lebanon Health And Rehabilitation Center - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
445268
Provider Name
LEBANON HEALTH AND REHABILITATION CENTER
Provider Address
731 CASTLE HEIGHTS COURT
LEBANON, TN 37087
LEBANON, TN 37087
Provider Phone Number
(615) 444-4319
Provider SSA County
940
Provider County Name
Wilson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
39
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SSC LEBANON OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-23
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
1.61538
Reported LPN Staffing Hours per Resident per Day
1.43718
Reported RN Staffing Hours per Resident per Day
1.37179
Reported Licensed Staffing Hours per Resident per Day
2.80897
Reported Total Nurse Staffing Hours per Resident per Day
4.42435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30000
Expected CNA Staffing Hours per Resident per Day
2.39082
Expected LPN Staffing Hours per Resident per Day
0.78005
Expected RN Staffing Hours per Resident per Day
1.69512
Expected Total Nurse Staffing Hours per Resident per Day
4.86600
Adjusted CNA Staffing Hours per Resident per Day
1.65786
Adjusted LPN Staffing Hours per Resident per Day
1.52920
Adjusted RN Staffing Hours per Resident per Day
0.60468
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66505
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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