Nhc Healthcare, Sequatchie - Dunlap Nursing Home
General Information
UPDATEFederal Provider Number
445126
Provider Name
NHC HEALTHCARE, SEQUATCHIE
Provider Address
360 DELL TRAIL, PO BOX 878
DUNLAP, TN 37327
DUNLAP, TN 37327
Provider Phone Number
4239494651
Provider SSA County
760
Provider County Name
Sequatchie
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-SEQUATCHIE LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-31
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.34421
Reported LPN Staffing Hours per Resident per Day
0.67421
Reported RN Staffing Hours per Resident per Day
0.66579
Reported Licensed Staffing Hours per Resident per Day
1.34000
Reported Total Nurse Staffing Hours per Resident per Day
3.68421
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06000
Expected CNA Staffing Hours per Resident per Day
2.70273
Expected LPN Staffing Hours per Resident per Day
0.71261
Expected RN Staffing Hours per Resident per Day
1.02676
Expected Total Nurse Staffing Hours per Resident per Day
4.44211
Adjusted CNA Staffing Hours per Resident per Day
2.12821
Adjusted LPN Staffing Hours per Resident per Day
0.78527
Adjusted RN Staffing Hours per Resident per Day
0.48451
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34316
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-02-26
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-08-30
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
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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