Perry County Nursing Home - Linden Nursing Home
General Information
UPDATEFederal Provider Number
445503
Provider Name
PERRY COUNTY NURSING HOME
Provider Address
127 E BROOKLYN AVENUE
LINDEN, TN 37096
LINDEN, TN 37096
Provider Phone Number
9315892134
Provider SSA County
670
Provider County Name
Perry
Ownership Type
For profit - Individual
Number of Certified Beds
114
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BUFFALO RIVER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2011-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06343
Reported LPN Staffing Hours per Resident per Day
0.98519
Reported RN Staffing Hours per Resident per Day
0.33843
Reported Licensed Staffing Hours per Resident per Day
1.32361
Reported Total Nurse Staffing Hours per Resident per Day
3.38705
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05093
Expected CNA Staffing Hours per Resident per Day
2.30284
Expected LPN Staffing Hours per Resident per Day
0.62208
Expected RN Staffing Hours per Resident per Day
0.96783
Expected Total Nurse Staffing Hours per Resident per Day
3.89276
Adjusted CNA Staffing Hours per Resident per Day
2.19860
Adjusted LPN Staffing Hours per Resident per Day
1.31447
Adjusted RN Staffing Hours per Resident per Day
0.26128
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50724
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
25
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2012-04-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
120.66700
Number of Facility Reported Incidents
0
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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