Palmyra Health Care Center - Palmyra Nursing Home
General Information
UPDATEFederal Provider Number
445184
Provider Name
PALMYRA HEALTH CARE CENTER
Provider Address
2727 PALMYRA RD
PALMYRA, TN 37142
PALMYRA, TN 37142
Provider Phone Number
(931) 326-5252
Provider SSA County
620
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNERSTONE HEALTH CARE OF PALMYRA INC
Date First Approved to Provide Medicare and Medicaid services
1986-04-29
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.11111
Reported LPN Staffing Hours per Resident per Day
0.88889
Reported RN Staffing Hours per Resident per Day
0.46889
Reported Licensed Staffing Hours per Resident per Day
1.35778
Reported Total Nurse Staffing Hours per Resident per Day
3.46889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.39954
Expected LPN Staffing Hours per Resident per Day
0.65985
Expected RN Staffing Hours per Resident per Day
0.94799
Expected Total Nurse Staffing Hours per Resident per Day
4.00738
Adjusted CNA Staffing Hours per Resident per Day
2.15876
Adjusted LPN Staffing Hours per Resident per Day
1.11811
Adjusted RN Staffing Hours per Resident per Day
0.36958
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48925
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2011-11-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
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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