Nhc Healthcare, Johnson City - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
445024
Provider Name
NHC HEALTHCARE, JOHNSON CITY
Provider Address
3209 BRISTOL HWY
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
Provider Phone Number
(423) 282-3311
Provider SSA County
890
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-JOHNSON CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.36452
Reported LPN Staffing Hours per Resident per Day
0.88911
Reported RN Staffing Hours per Resident per Day
0.63911
Reported Licensed Staffing Hours per Resident per Day
1.52823
Reported Total Nurse Staffing Hours per Resident per Day
3.89274
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12863
Expected CNA Staffing Hours per Resident per Day
2.63070
Expected LPN Staffing Hours per Resident per Day
0.68650
Expected RN Staffing Hours per Resident per Day
1.06841
Expected Total Nurse Staffing Hours per Resident per Day
4.38560
Adjusted CNA Staffing Hours per Resident per Day
2.20543
Adjusted LPN Staffing Hours per Resident per Day
1.07496
Adjusted RN Staffing Hours per Resident per Day
0.44697
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57790
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
12
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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