Nhc Healthcare, Smithville - Smithville Nursing Home
General Information
UPDATEFederal Provider Number
445116
Provider Name
NHC HEALTHCARE, SMITHVILLE
Provider Address
825 FISHER AVE P O BOX 549
SMITHVILLE, TN 37166
SMITHVILLE, TN 37166
Provider Phone Number
6155974284
Provider SSA County
200
Provider County Name
De Kalb
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-SMITHVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-06-02
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.40150
Reported LPN Staffing Hours per Resident per Day
0.81500
Reported RN Staffing Hours per Resident per Day
0.64350
Reported Licensed Staffing Hours per Resident per Day
1.45850
Reported Total Nurse Staffing Hours per Resident per Day
3.86000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07150
Expected CNA Staffing Hours per Resident per Day
2.58127
Expected LPN Staffing Hours per Resident per Day
0.65647
Expected RN Staffing Hours per Resident per Day
0.97776
Expected Total Nurse Staffing Hours per Resident per Day
4.21550
Adjusted CNA Staffing Hours per Resident per Day
2.28281
Adjusted LPN Staffing Hours per Resident per Day
1.03043
Adjusted RN Staffing Hours per Resident per Day
0.49176
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69097
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-17
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
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
1
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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