Life Care Center Of Collegedale - Collegedale Nursing Home
General Information
UPDATEFederal Provider Number
445294
Provider Name
LIFE CARE CENTER OF COLLEGEDALE
Provider Address
PO BOX 658, 9210 APISON PIKE
COLLEGEDALE, TN 37315
COLLEGEDALE, TN 37315
Provider Phone Number
(423) 396-2182
Provider SSA County
320
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1992-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
1.69619
Reported LPN Staffing Hours per Resident per Day
0.70619
Reported RN Staffing Hours per Resident per Day
0.68571
Reported Licensed Staffing Hours per Resident per Day
1.39190
Reported Total Nurse Staffing Hours per Resident per Day
3.08809
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17571
Expected CNA Staffing Hours per Resident per Day
2.51280
Expected LPN Staffing Hours per Resident per Day
0.64577
Expected RN Staffing Hours per Resident per Day
1.05189
Expected Total Nurse Staffing Hours per Resident per Day
4.21047
Adjusted CNA Staffing Hours per Resident per Day
1.65630
Adjusted LPN Staffing Hours per Resident per Day
0.90765
Adjusted RN Staffing Hours per Resident per Day
0.48709
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95639
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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