Pleasant View Health Care Center - Bolivar Nursing Home

General Information

UPDATE
Federal Provider Number
445352
Provider Name
PLEASANT VIEW HEALTH CARE CENTER
Provider Address
214 NORTH WATER STREET
BOLIVAR, TN 38008
Provider Phone Number
(731) 658-5287
Provider SSA County
340
Provider County Name
Hardeman
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNERSTONE HEALTH CARE OF BOLIVAR INC
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.74907
Reported LPN Staffing Hours per Resident per Day
2.66667
Reported RN Staffing Hours per Resident per Day
0.46574
Reported Licensed Staffing Hours per Resident per Day
3.13241
Reported Total Nurse Staffing Hours per Resident per Day
4.88148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.42549
Expected LPN Staffing Hours per Resident per Day
0.54129
Expected RN Staffing Hours per Resident per Day
0.76764
Expected Total Nurse Staffing Hours per Resident per Day
3.73442
Adjusted CNA Staffing Hours per Resident per Day
1.76941
Adjusted LPN Staffing Hours per Resident per Day
4.08897
Adjusted RN Staffing Hours per Resident per Day
0.45334
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26902
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
113.33300
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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