Life Care Center Of Centerville - Centerville Nursing Home
General Information
UPDATEFederal Provider Number
445252
Provider Name
LIFE CARE CENTER OF CENTERVILLE
Provider Address
112 OLD DICKSON RD
CENTERVILLE, TN 37033
CENTERVILLE, TN 37033
Provider Phone Number
(931) 729-4236
Provider SSA County
400
Provider County Name
Hickman
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTERVILLE MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-14
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
2
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
1.02365
Reported LPN Staffing Hours per Resident per Day
1.21216
Reported RN Staffing Hours per Resident per Day
0.64865
Reported Licensed Staffing Hours per Resident per Day
1.86081
Reported Total Nurse Staffing Hours per Resident per Day
2.88446
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21622
Expected CNA Staffing Hours per Resident per Day
2.60344
Expected LPN Staffing Hours per Resident per Day
0.64033
Expected RN Staffing Hours per Resident per Day
1.06836
Expected Total Nurse Staffing Hours per Resident per Day
4.31214
Adjusted CNA Staffing Hours per Resident per Day
0.96477
Adjusted LPN Staffing Hours per Resident per Day
1.57120
Adjusted RN Staffing Hours per Resident per Day
0.45366
Adjusted Total Nurse Staffing Hours per Resident per Day
2.69634
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-12-11
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
2011-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
40.00000
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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Nursiong Homes Nearby
Hickman Community Nursing Home
135 E Swan St |
CENTERVILLE TN 37033 | 0.4 mile away