Millington Healthcare Center - Millington Nursing Home
General Information
UPDATEFederal Provider Number
445425
Provider Name
MILLINGTON HEALTHCARE CENTER
Provider Address
5081 EASLEY AVENUE
MILLINGTON, TN 38053
MILLINGTON, TN 38053
Provider Phone Number
(901) 873-3290
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
85
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELLINGTON HEALTHCARE PROPERTIES LP
Date First Approved to Provide Medicare and Medicaid services
2001-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01220
Reported LPN Staffing Hours per Resident per Day
1.03110
Reported RN Staffing Hours per Resident per Day
0.33049
Reported Licensed Staffing Hours per Resident per Day
1.36159
Reported Total Nurse Staffing Hours per Resident per Day
3.37379
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23537
Expected CNA Staffing Hours per Resident per Day
2.52820
Expected LPN Staffing Hours per Resident per Day
0.61674
Expected RN Staffing Hours per Resident per Day
0.95351
Expected Total Nurse Staffing Hours per Resident per Day
4.09844
Adjusted CNA Staffing Hours per Resident per Day
1.95291
Adjusted LPN Staffing Hours per Resident per Day
1.38765
Adjusted RN Staffing Hours per Resident per Day
0.25898
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31819
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
44
Cycle 3 Standard Health Survey Date
2011-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
55.33300
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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