Reelfoot Manor Health And Rehab - Tiptonville Nursing Home
General Information
UPDATEFederal Provider Number
445285
Provider Name
REELFOOT MANOR HEALTH AND REHAB
Provider Address
1034 REELFOOT DRIVE
TIPTONVILLE, TN 38079
TIPTONVILLE, TN 38079
Provider Phone Number
(731) 253-6681
Provider SSA County
470
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REELFOOT OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
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
4
QM Rating Footnote
Staffing Rating
3
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
1.67000
Reported LPN Staffing Hours per Resident per Day
1.20333
Reported RN Staffing Hours per Resident per Day
0.58333
Reported Licensed Staffing Hours per Resident per Day
1.78667
Reported Total Nurse Staffing Hours per Resident per Day
3.45666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02111
Expected CNA Staffing Hours per Resident per Day
2.41544
Expected LPN Staffing Hours per Resident per Day
0.59452
Expected RN Staffing Hours per Resident per Day
0.95935
Expected Total Nurse Staffing Hours per Resident per Day
3.96932
Adjusted CNA Staffing Hours per Resident per Day
1.69645
Adjusted LPN Staffing Hours per Resident per Day
1.67994
Adjusted RN Staffing Hours per Resident per Day
0.45433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51029
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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