Mabry Health Care - Gainesboro Nursing Home

General Information

UPDATE
Federal Provider Number
445272
Provider Name
MABRY HEALTH CARE
Provider Address
1340 N GRUNDY QUARLES HWY P O BOX 7
GAINESBORO, TN 38562
Provider Phone Number
9312680291
Provider SSA County
430
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THOMAS J MABRY & ASSOC INC
Date First Approved to Provide Medicare and Medicaid services
1991-10-24
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
1
QM Rating Footnote
Staffing Rating
3
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
2.30403
Reported LPN Staffing Hours per Resident per Day
0.92177
Reported RN Staffing Hours per Resident per Day
0.46048
Reported Licensed Staffing Hours per Resident per Day
1.38226
Reported Total Nurse Staffing Hours per Resident per Day
3.68628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02339
Expected CNA Staffing Hours per Resident per Day
2.47787
Expected LPN Staffing Hours per Resident per Day
0.61567
Expected RN Staffing Hours per Resident per Day
0.86648
Expected Total Nurse Staffing Hours per Resident per Day
3.96002
Adjusted CNA Staffing Hours per Resident per Day
2.28155
Adjusted LPN Staffing Hours per Resident per Day
1.24267
Adjusted RN Staffing Hours per Resident per Day
0.39709
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75226
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
96
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
96
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
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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