Mt Juliet Health Care Center - Mount Juliet Nursing Home
General Information
UPDATEFederal Provider Number
445439
Provider Name
MT JULIET HEALTH CARE CENTER
Provider Address
2650 NORTH MT JULIET ROAD
MOUNT JULIET, TN 37122
MOUNT JULIET, TN 37122
Provider Phone Number
(615) 758-4100
Provider SSA County
940
Provider County Name
Wilson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MT JULIET HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2002-01-07
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01582
Reported LPN Staffing Hours per Resident per Day
1.10823
Reported RN Staffing Hours per Resident per Day
0.95443
Reported Licensed Staffing Hours per Resident per Day
2.06266
Reported Total Nurse Staffing Hours per Resident per Day
4.07848
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07215
Expected CNA Staffing Hours per Resident per Day
2.66388
Expected LPN Staffing Hours per Resident per Day
0.67122
Expected RN Staffing Hours per Resident per Day
1.04090
Expected Total Nurse Staffing Hours per Resident per Day
4.37599
Adjusted CNA Staffing Hours per Resident per Day
1.85677
Adjusted LPN Staffing Hours per Resident per Day
1.37038
Adjusted RN Staffing Hours per Resident per Day
0.68513
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75685
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
28
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-24
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
42250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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