Mayfield Rehabilitation Center - Smyrna Nursing Home
General Information
UPDATEFederal Provider Number
445160
Provider Name
MAYFIELD REHABILITATION CENTER
Provider Address
200 MAYFIELD DRIVE
SMYRNA, TN 37167
SMYRNA, TN 37167
Provider Phone Number
(615) 355-0350
Provider SSA County
740
Provider County Name
Rutherford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
91
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
1983-10-26
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46154
Reported LPN Staffing Hours per Resident per Day
1.09451
Reported RN Staffing Hours per Resident per Day
1.12198
Reported Licensed Staffing Hours per Resident per Day
2.21648
Reported Total Nurse Staffing Hours per Resident per Day
4.67803
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04396
Expected CNA Staffing Hours per Resident per Day
2.49586
Expected LPN Staffing Hours per Resident per Day
0.57652
Expected RN Staffing Hours per Resident per Day
0.90134
Expected Total Nurse Staffing Hours per Resident per Day
3.97372
Adjusted CNA Staffing Hours per Resident per Day
2.41996
Adjusted LPN Staffing Hours per Resident per Day
1.57573
Adjusted RN Staffing Hours per Resident per Day
0.93011
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74534
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
60
Cycle 3 Standard Health Survey Date
2011-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
69518
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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