Signature Healthcare At Larkin Springs - Madison Nursing Home
General Information
UPDATEFederal Provider Number
445075
Provider Name
SIGNATURE HEALTHCARE AT LARKIN SPRINGS
Provider Address
431 LARKIN SPRING RD
MADISON, TN 37115
MADISON, TN 37115
Provider Phone Number
6158658520
Provider SSA County
180
Provider County Name
Davidson
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP MADISON LLC
Date First Approved to Provide Medicare and Medicaid services
1974-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
2
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
1.79800
Reported LPN Staffing Hours per Resident per Day
0.52000
Reported RN Staffing Hours per Resident per Day
0.89300
Reported Licensed Staffing Hours per Resident per Day
1.41300
Reported Total Nurse Staffing Hours per Resident per Day
3.21100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05400
Expected CNA Staffing Hours per Resident per Day
2.54150
Expected LPN Staffing Hours per Resident per Day
0.64983
Expected RN Staffing Hours per Resident per Day
1.01022
Expected Total Nurse Staffing Hours per Resident per Day
4.20156
Adjusted CNA Staffing Hours per Resident per Day
1.73589
Adjusted LPN Staffing Hours per Resident per Day
0.66417
Adjusted RN Staffing Hours per Resident per Day
0.66050
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08058
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
543
Cycle 2 Standard Health Survey Date
2013-04-10
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
190.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
550959
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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