Life Care Center Of Tullahoma - Tullahoma Nursing Home

General Information

UPDATE
Federal Provider Number
445238
Provider Name
LIFE CARE CENTER OF TULLAHOMA
Provider Address
1715 N JACKSON ST
TULLAHOMA, TN 37388
Provider Phone Number
(931) 455-8557
Provider SSA County
150
Provider County Name
Coffee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
169
Number of Residents in Certified Beds
114
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
1989-12-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.79561
Reported LPN Staffing Hours per Resident per Day
1.02456
Reported RN Staffing Hours per Resident per Day
0.56184
Reported Licensed Staffing Hours per Resident per Day
1.58640
Reported Total Nurse Staffing Hours per Resident per Day
3.38201
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18553
Expected CNA Staffing Hours per Resident per Day
2.61093
Expected LPN Staffing Hours per Resident per Day
0.74821
Expected RN Staffing Hours per Resident per Day
1.22710
Expected Total Nurse Staffing Hours per Resident per Day
4.58624
Adjusted CNA Staffing Hours per Resident per Day
1.68748
Adjusted LPN Staffing Hours per Resident per Day
1.13656
Adjusted RN Staffing Hours per Resident per Day
0.34211
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97249
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-20
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
3
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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