Obion County Nursing Home - Union City Nursing Home
General Information
UPDATEFederal Provider Number
445508
Provider Name
OBION COUNTY NURSING HOME
Provider Address
1084 EAST COUNTY HOME ROAD
UNION CITY, TN 38261
UNION CITY, TN 38261
Provider Phone Number
(731) 885-9065
Provider SSA County
650
Provider County Name
Obion
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
56
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF OBION
Date First Approved to Provide Medicare and Medicaid services
2012-04-20
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.37333
Reported LPN Staffing Hours per Resident per Day
1.24111
Reported RN Staffing Hours per Resident per Day
0.79333
Reported Licensed Staffing Hours per Resident per Day
2.03444
Reported Total Nurse Staffing Hours per Resident per Day
4.40777
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43352
Expected LPN Staffing Hours per Resident per Day
0.62240
Expected RN Staffing Hours per Resident per Day
0.95931
Expected Total Nurse Staffing Hours per Resident per Day
4.01522
Adjusted CNA Staffing Hours per Resident per Day
2.39302
Adjusted LPN Staffing Hours per Resident per Day
1.65509
Adjusted RN Staffing Hours per Resident per Day
0.61792
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42498
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-20
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
40.66700
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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