Nhc Healthcare, Tullahoma - Tullahoma Nursing Home
General Information
UPDATEFederal Provider Number
445515
Provider Name
NHC HEALTHCARE, TULLAHOMA
Provider Address
1321 CEDAR LANE
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
Provider Phone Number
(931) 222-4207
Provider SSA County
150
Provider County Name
Coffee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NHC HEALTHCARE -TULLAHOMA, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-11-26
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
5
Health Inspection Rating Footnote
QM Rating
1
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
2.12892
Reported LPN Staffing Hours per Resident per Day
1.45181
Reported RN Staffing Hours per Resident per Day
0.79819
Reported Licensed Staffing Hours per Resident per Day
2.25000
Reported Total Nurse Staffing Hours per Resident per Day
4.37892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27651
Expected CNA Staffing Hours per Resident per Day
2.48696
Expected LPN Staffing Hours per Resident per Day
0.73650
Expected RN Staffing Hours per Resident per Day
1.45928
Expected Total Nurse Staffing Hours per Resident per Day
4.68275
Adjusted CNA Staffing Hours per Resident per Day
2.10045
Adjusted LPN Staffing Hours per Resident per Day
1.63612
Adjusted RN Staffing Hours per Resident per Day
0.40870
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76937
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-11-26
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.80000
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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