Life Care Center Of Hixson - Hixson Nursing Home
General Information
UPDATEFederal Provider Number
445380
Provider Name
LIFE CARE CENTER OF HIXSON
Provider Address
5798 HIXSON HOME PLACE
HIXSON, TN 37343
HIXSON, TN 37343
Provider Phone Number
(423) 842-0049
Provider SSA County
320
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
86
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
1996-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
0.94767
Reported LPN Staffing Hours per Resident per Day
0.79244
Reported RN Staffing Hours per Resident per Day
0.51453
Reported Licensed Staffing Hours per Resident per Day
1.30698
Reported Total Nurse Staffing Hours per Resident per Day
2.25464
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19942
Expected CNA Staffing Hours per Resident per Day
2.33091
Expected LPN Staffing Hours per Resident per Day
0.64148
Expected RN Staffing Hours per Resident per Day
1.29823
Expected Total Nurse Staffing Hours per Resident per Day
4.27062
Adjusted CNA Staffing Hours per Resident per Day
0.99759
Adjusted LPN Staffing Hours per Resident per Day
1.02532
Adjusted RN Staffing Hours per Resident per Day
0.29614
Adjusted Total Nurse Staffing Hours per Resident per Day
2.12808
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
12
Cycle 2 Standard Health Survey Date
2012-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2011-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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