Life Care Center Of Cleveland - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
445244
Provider Name
LIFE CARE CENTER OF CLEVELAND
Provider Address
3530 KEITH ST NW
CLEVELAND, TN 37311
CLEVELAND, TN 37311
Provider Phone Number
(423) 476-3254
Provider SSA County
50
Provider County Name
Bradley
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-12-19
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
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
2.15397
Reported LPN Staffing Hours per Resident per Day
1.07143
Reported RN Staffing Hours per Resident per Day
0.86151
Reported Licensed Staffing Hours per Resident per Day
1.93294
Reported Total Nurse Staffing Hours per Resident per Day
4.08691
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22659
Expected CNA Staffing Hours per Resident per Day
2.61827
Expected LPN Staffing Hours per Resident per Day
0.69383
Expected RN Staffing Hours per Resident per Day
1.16341
Expected Total Nurse Staffing Hours per Resident per Day
4.47552
Adjusted CNA Staffing Hours per Resident per Day
2.01858
Adjusted LPN Staffing Hours per Resident per Day
1.28171
Adjusted RN Staffing Hours per Resident per Day
0.55330
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68090
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
16
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
136
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
63.33300
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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