Martin Health Care - Martin Nursing Home
General Information
UPDATEFederal Provider Number
445249
Provider Name
MARTIN HEALTH CARE
Provider Address
158 MT PELIA RD
MARTIN, TN 38237
MARTIN, TN 38237
Provider Phone Number
(731) 587-0503
Provider SSA County
910
Provider County Name
Weakley
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE LEASING CORP.
Date First Approved to Provide Medicare and Medicaid services
1990-04-11
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91860
Reported LPN Staffing Hours per Resident per Day
0.95291
Reported RN Staffing Hours per Resident per Day
0.71337
Reported Licensed Staffing Hours per Resident per Day
1.66628
Reported Total Nurse Staffing Hours per Resident per Day
3.58488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06163
Expected CNA Staffing Hours per Resident per Day
2.49302
Expected LPN Staffing Hours per Resident per Day
0.59765
Expected RN Staffing Hours per Resident per Day
0.98144
Expected Total Nurse Staffing Hours per Resident per Day
4.07212
Adjusted CNA Staffing Hours per Resident per Day
1.88834
Adjusted LPN Staffing Hours per Resident per Day
1.32337
Adjusted RN Staffing Hours per Resident per Day
0.54311
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54859
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
2015-02-25
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
32
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
16.00000
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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