Pine Ridge Care & Rehabilitation Center - Elizabethton Nursing Home
General Information
UPDATEFederal Provider Number
445217
Provider Name
PINE RIDGE CARE & REHABILITATION CENTER
Provider Address
1200 SPRUCE LANE
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
Provider Phone Number
(423) 543-3202
Provider SSA County
90
Provider County Name
Carter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP ELIZABETHTON LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-17
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
2
QM Rating Footnote
Staffing Rating
3
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
1.94304
Reported LPN Staffing Hours per Resident per Day
0.79241
Reported RN Staffing Hours per Resident per Day
0.89684
Reported Licensed Staffing Hours per Resident per Day
1.68924
Reported Total Nurse Staffing Hours per Resident per Day
3.63229
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07595
Expected CNA Staffing Hours per Resident per Day
2.57825
Expected LPN Staffing Hours per Resident per Day
0.67107
Expected RN Staffing Hours per Resident per Day
1.18321
Expected Total Nurse Staffing Hours per Resident per Day
4.43252
Adjusted CNA Staffing Hours per Resident per Day
1.84918
Adjusted LPN Staffing Hours per Resident per Day
0.98008
Adjusted RN Staffing Hours per Resident per Day
0.56636
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30318
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
16.00000
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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