Life Care Center Of Crossville - Crossville Nursing Home
General Information
UPDATEFederal Provider Number
445167
Provider Name
LIFE CARE CENTER OF CROSSVILLE
Provider Address
80 JUSTICE ST
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
Provider Phone Number
(931) 484-4782
Provider SSA County
170
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROSSVILLE MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-08-08
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11553
Reported LPN Staffing Hours per Resident per Day
1.36748
Reported RN Staffing Hours per Resident per Day
0.33252
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
3.81553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14417
Expected CNA Staffing Hours per Resident per Day
2.59351
Expected LPN Staffing Hours per Resident per Day
0.70546
Expected RN Staffing Hours per Resident per Day
1.10614
Expected Total Nurse Staffing Hours per Resident per Day
4.40511
Adjusted CNA Staffing Hours per Resident per Day
2.00149
Adjusted LPN Staffing Hours per Resident per Day
1.60889
Adjusted RN Staffing Hours per Resident per Day
0.22462
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49140
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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