Mckendree Village Inc - Hermitage Nursing Home
General Information
UPDATEFederal Provider Number
445491
Provider Name
MCKENDREE VILLAGE INC
Provider Address
4347 LEBANON ROAD
HERMITAGE, TN 37076
HERMITAGE, TN 37076
Provider Phone Number
6158718200
Provider SSA County
180
Provider County Name
Davidson
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NASHVILLE SENIOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2009-01-13
Continuing Care Retirement Community
Y
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
3
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
2.51729
Reported LPN Staffing Hours per Resident per Day
1.21203
Reported RN Staffing Hours per Resident per Day
0.60226
Reported Licensed Staffing Hours per Resident per Day
1.81429
Reported Total Nurse Staffing Hours per Resident per Day
4.33158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.50971
Expected LPN Staffing Hours per Resident per Day
0.59133
Expected RN Staffing Hours per Resident per Day
0.92507
Expected Total Nurse Staffing Hours per Resident per Day
4.02611
Adjusted CNA Staffing Hours per Resident per Day
2.46111
Adjusted LPN Staffing Hours per Resident per Day
1.70122
Adjusted RN Staffing Hours per Resident per Day
0.48646
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33673
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-04-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-05
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
9
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
14966
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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