Memphis Jewish Home - Cordova Nursing Home
General Information
UPDATEFederal Provider Number
445293
Provider Name
MEMPHIS JEWISH HOME
Provider Address
36 BAZEBERRY ROAD
CORDOVA, TN 38018
CORDOVA, TN 38018
Provider Phone Number
9017580036
Provider SSA County
780
Provider County Name
Shelby
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
B'NAI B'RITH HOME & HOSPITAL FOR THE AGED, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-07-02
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
4
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
3.02273
Reported LPN Staffing Hours per Resident per Day
1.33497
Reported RN Staffing Hours per Resident per Day
0.88112
Reported Licensed Staffing Hours per Resident per Day
2.21608
Reported Total Nurse Staffing Hours per Resident per Day
5.23882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10734
Expected CNA Staffing Hours per Resident per Day
2.39645
Expected LPN Staffing Hours per Resident per Day
0.58666
Expected RN Staffing Hours per Resident per Day
1.08523
Expected Total Nurse Staffing Hours per Resident per Day
4.06834
Adjusted CNA Staffing Hours per Resident per Day
3.09494
Adjusted LPN Staffing Hours per Resident per Day
1.88870
Adjusted RN Staffing Hours per Resident per Day
0.60667
Adjusted Total Nurse Staffing Hours per Resident per Day
5.19061
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
11.33300
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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