Princeton Trans Care At North - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
445356
Provider Name
PRINCETON TRANS CARE AT NORTH
Provider Address
2511 WESLEY STREET
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
Provider Phone Number
4238545600
Provider SSA County
890
Provider County Name
Washington
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
23
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
MOUNTAIN STATES HEALTH ALLIANCE
Date First Approved to Provide Medicare and Medicaid services
1995-08-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54348
Reported LPN Staffing Hours per Resident per Day
1.49348
Reported RN Staffing Hours per Resident per Day
3.59565
Reported Licensed Staffing Hours per Resident per Day
5.08913
Reported Total Nurse Staffing Hours per Resident per Day
7.63261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.87609
Expected CNA Staffing Hours per Resident per Day
2.35850
Expected LPN Staffing Hours per Resident per Day
0.92808
Expected RN Staffing Hours per Resident per Day
2.36070
Expected Total Nurse Staffing Hours per Resident per Day
5.64728
Adjusted CNA Staffing Hours per Resident per Day
2.64615
Adjusted LPN Staffing Hours per Resident per Day
1.33565
Adjusted RN Staffing Hours per Resident per Day
1.13808
Adjusted Total Nurse Staffing Hours per Resident per Day
5.44799
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-20
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
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
2011-07-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
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
Nursiong Homes Nearby
Nhc Healthcare, Johnson City
3209 Bristol Hwy |
JOHNSON CITY TN 37601 | 1 mile away
Appalachian Christian Village
2012 Sherwood Drive |
JOHNSON CITY TN 37601 | 1.1 miles away
Christian Care Center Of Johnson City, Inc
140 Technology Lane |
JOHNSON CITY TN 37604 | 1.9 miles away
Agape Nursing And Rehabiliation Center, Llc
505 N Roan Street |
JOHNSON CITY TN 37604 | 2.6 miles away
Lakebridge Health Care Center
115 Woodlawn Drive |
JOHNSON CITY TN 37604 | 3.6 miles away
Life Care Center Of Gray
791 Old Gray Station Road |
GRAY TN 37615 | 5.1 miles away
Four Oaks Health Care Center
1101 Persimmon Ridge Rd |
JONESBOROUGH TN 37659 | 8 miles away
John M Reed Health And Rehab
124 John Reed Home Rd |
LIMESTONE TN 37681 | 16.1 miles away
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