Northbrooke Health Care Center - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
445401
Provider Name
NORTHBROOKE HEALTH CARE CENTER
Provider Address
121 PHYSICIANS DR
JACKSON, TN 38305
JACKSON, TN 38305
Provider Phone Number
(731) 664-5050
Provider SSA County
560
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHBROOKE HEALTHCARE AND REHAB CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1997-08-25
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
4
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
1.92713
Reported LPN Staffing Hours per Resident per Day
0.94202
Reported RN Staffing Hours per Resident per Day
0.76330
Reported Licensed Staffing Hours per Resident per Day
1.70532
Reported Total Nurse Staffing Hours per Resident per Day
3.63245
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06702
Expected CNA Staffing Hours per Resident per Day
2.48668
Expected LPN Staffing Hours per Resident per Day
0.65287
Expected RN Staffing Hours per Resident per Day
1.15141
Expected Total Nurse Staffing Hours per Resident per Day
4.29095
Adjusted CNA Staffing Hours per Resident per Day
1.90157
Adjusted LPN Staffing Hours per Resident per Day
1.19760
Adjusted RN Staffing Hours per Resident per Day
0.49534
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41230
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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