Lewis County Nursing And Rehabilitation Center - Hohenwald Nursing Home

General Information

UPDATE
Federal Provider Number
445430
Provider Name
LEWIS COUNTY NURSING AND REHABILITATION CENTER
Provider Address
119 KITTRELL ST, PO BOX 129
HOHENWALD, TN 38462
Provider Phone Number
9317963233
Provider SSA County
500
Provider County Name
Lewis
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEWIS COUNTY NURSING AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66577
Reported LPN Staffing Hours per Resident per Day
1.06171
Reported RN Staffing Hours per Resident per Day
0.35495
Reported Licensed Staffing Hours per Resident per Day
1.41667
Reported Total Nurse Staffing Hours per Resident per Day
4.08243
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05135
Expected CNA Staffing Hours per Resident per Day
2.64136
Expected LPN Staffing Hours per Resident per Day
0.68172
Expected RN Staffing Hours per Resident per Day
0.92253
Expected Total Nurse Staffing Hours per Resident per Day
4.24561
Adjusted CNA Staffing Hours per Resident per Day
2.47637
Adjusted LPN Staffing Hours per Resident per Day
1.29264
Adjusted RN Staffing Hours per Resident per Day
0.28749
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87597
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-18
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
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-11-16
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
36
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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