Norris Health And Rehabilitation Center - Andersonville Nursing Home

General Information

UPDATE
Federal Provider Number
445303
Provider Name
NORRIS HEALTH AND REHABILITATION CENTER
Provider Address
3382 ANDERSONVILLE HIGHWAY
ANDERSONVILLE, TN 37705
Provider Phone Number
(865) 494-0986
Provider SSA County
0
Provider County Name
Anderson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ANDERSONVILLE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1992-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.41500
Reported LPN Staffing Hours per Resident per Day
0.93000
Reported RN Staffing Hours per Resident per Day
0.61111
Reported Licensed Staffing Hours per Resident per Day
1.54111
Reported Total Nurse Staffing Hours per Resident per Day
2.95611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.51028
Expected LPN Staffing Hours per Resident per Day
0.74631
Expected RN Staffing Hours per Resident per Day
1.21171
Expected Total Nurse Staffing Hours per Resident per Day
4.46829
Adjusted CNA Staffing Hours per Resident per Day
1.38311
Adjusted LPN Staffing Hours per Resident per Day
1.03429
Adjusted RN Staffing Hours per Resident per Day
0.37684
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66674
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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