Lincoln Donalson Care Centers - Fayetteville Nursing Home

General Information

UPDATE
Federal Provider Number
445173
Provider Name
LINCOLN DONALSON CARE CENTERS
Provider Address
501 AMANA AVENUE
FAYETTEVILLE, TN 37334
Provider Phone Number
(931) 433-6146
Provider SSA County
510
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
240
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINCOLN CARE
Date First Approved to Provide Medicare and Medicaid services
1985-04-22
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.67874
Reported LPN Staffing Hours per Resident per Day
1.04425
Reported RN Staffing Hours per Resident per Day
0.49282
Reported Licensed Staffing Hours per Resident per Day
1.53707
Reported Total Nurse Staffing Hours per Resident per Day
4.21581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03276
Expected CNA Staffing Hours per Resident per Day
2.38913
Expected LPN Staffing Hours per Resident per Day
0.58291
Expected RN Staffing Hours per Resident per Day
0.89148
Expected Total Nurse Staffing Hours per Resident per Day
3.86352
Adjusted CNA Staffing Hours per Resident per Day
2.75113
Adjusted LPN Staffing Hours per Resident per Day
1.48691
Adjusted RN Staffing Hours per Resident per Day
0.41306
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39845
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
2013-09-18
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
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2011-09-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2010-06-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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