Oakwood Community Living Center - Dyersburg Nursing Home
General Information
UPDATEFederal Provider Number
445335
Provider Name
OAKWOOD COMMUNITY LIVING CENTER
Provider Address
1636 WOODLAWN
DYERSBURG, TN 38024
DYERSBURG, TN 38024
Provider Phone Number
(731) 285-6400
Provider SSA County
220
Provider County Name
Dyer
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
50
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLC OF DYERSBURG, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
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
2
QM Rating Footnote
Staffing Rating
2
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
1.56579
Reported LPN Staffing Hours per Resident per Day
0.76842
Reported RN Staffing Hours per Resident per Day
0.86184
Reported Licensed Staffing Hours per Resident per Day
1.63026
Reported Total Nurse Staffing Hours per Resident per Day
3.19605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01447
Expected CNA Staffing Hours per Resident per Day
2.69227
Expected LPN Staffing Hours per Resident per Day
0.62334
Expected RN Staffing Hours per Resident per Day
0.98852
Expected Total Nurse Staffing Hours per Resident per Day
4.30414
Adjusted CNA Staffing Hours per Resident per Day
1.42704
Adjusted LPN Staffing Hours per Resident per Day
1.02318
Adjusted RN Staffing Hours per Resident per Day
0.65144
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99316
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
728
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
364
Cycle 1 Total Health Score
1092
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
32
Cycle 2 Standard Health Survey Date
2012-11-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
560.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Highlands Of Dyersburg Health & Rehab
350 East Tickle Street |
DYERSBURG TN 38024 | 0.2 mile away
Dyersburg Nursing And Rehabilitation, Inc
1900 Parr Avenue |
DYERSBURG TN 38024 | 0.3 mile away