Nhc Healthcare, Somerville - Somerville Nursing Home
General Information
UPDATEFederal Provider Number
445119
Provider Name
NHC HEALTHCARE, SOMERVILLE
Provider Address
308 LAKE DRIVE, PO BOX 550
SOMERVILLE, TN 38068
SOMERVILLE, TN 38068
Provider Phone Number
9014659861
Provider SSA County
230
Provider County Name
Fayette
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE-SOMERVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03433
Reported LPN Staffing Hours per Resident per Day
0.97239
Reported RN Staffing Hours per Resident per Day
0.74328
Reported Licensed Staffing Hours per Resident per Day
1.71567
Reported Total Nurse Staffing Hours per Resident per Day
3.75000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05448
Expected CNA Staffing Hours per Resident per Day
2.61481
Expected LPN Staffing Hours per Resident per Day
0.63950
Expected RN Staffing Hours per Resident per Day
0.93295
Expected Total Nurse Staffing Hours per Resident per Day
4.18725
Adjusted CNA Staffing Hours per Resident per Day
1.90899
Adjusted LPN Staffing Hours per Resident per Day
1.26206
Adjusted RN Staffing Hours per Resident per Day
0.59529
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60997
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-09-18
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-07-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-04-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
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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